Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $56.10 / $77.81	Professional		$45.16	$56.10	$77.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $18.80 / $26.25	Professional	26	$16.09	$18.80	$26.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.52 / $36.93 / $51.29	Professional	TC	$28.52	$36.93	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $78.62 / $161.94	Professional		$78.62	$78.62	$161.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $25.75 / $53.05	Professional	26	$25.75	$25.75	$53.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.86 / $52.86 / $108.90	Professional	TC	$52.86	$52.86	$108.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $38.65 / $112.52	Professional		$22.49	$38.65	$112.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $16.41 / $50.40	Professional	26	$10.80	$16.41	$50.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.70 / $26.42 / $75.56	Professional	TC	$11.70	$26.42	$75.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $119.58 / $305.52	Professional		$101.05	$119.58	$305.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $35.13 / $92.66	Professional	26	$29.69	$35.13	$92.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $71.34 / $84.43 / $212.84	Professional	TC	$71.34	$84.43	$212.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $61.66 / $145.08	Professional		$30.73	$61.66	$145.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $16.37 / $54.14	Professional	26	$14.50	$16.37	$54.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $32.96 / $90.94	Professional	TC	$16.37	$32.96	$90.94