Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $339.26 / $507.05	Professional		$257.38	$339.26	$507.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.28 / $35.28 / $48.98	Professional	26	$30.28	$35.28	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.10 / $301.10 / $458.07	Professional	TC	$227.10	$301.10	$458.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.62 / $443.62 / $913.81	Professional		$443.62	$443.62	$913.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.12 / $48.12 / $99.13	Professional	26	$48.12	$48.12	$99.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $395.49 / $395.49 / $814.68	Professional	TC	$395.49	$395.49	$814.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $231.97 / $634.49	Professional		$182.48	$231.97	$634.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $25.09 / $73.61	Professional	26	$22.02	$25.09	$73.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.46 / $206.32 / $643.17	Professional	TC	$160.46	$206.32	$643.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.92 / $585.65 / $1,620.46	Professional		$494.92	$585.65	$1,620.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.70 / $65.92 / $174.98	Professional	26	$55.70	$65.92	$174.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $439.21 / $519.73 / $1,445.48	Professional	TC	$439.21	$519.73	$1,445.48
United Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $332.26 / $1,010.38	Professional		$251.26	$332.26	$1,010.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $31.23 / $101.78	Professional	26	$27.96	$31.23	$101.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.30 / $301.02 / $913.87	Professional	TC	$223.30	$301.02	$913.87