Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $77.62	Professional		$42.66	$57.54	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.89 / $38.90	Professional	26	$15.14	$20.89	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $51.29	Professional	TC	$25.70	$37.15	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $138.04	Professional		$79.43	$79.43	$138.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $25.70 / $43.65	Professional	26	$25.70	$25.70	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $54.95 / $95.50	Professional	TC	$54.95	$54.95	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $47.86 / $128.82	Professional		$23.44	$47.86	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $20.89 / $45.71	Professional	26	$10.72	$20.89	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $30.20 / $89.13	Professional	TC	$12.59	$30.20	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	26	$34.67	$34.67	$34.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	TC	$87.10	$87.10	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $138.04	Professional		$77.62	$87.10	$138.04
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $24.55 / $41.69	Professional	26	$23.44	$24.55	$41.69
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $61.66 / $95.50	Professional	TC	$53.70	$61.66	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $131.83	Professional		$33.88	$48.98	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $15.85 / $51.29	Professional	26	$14.45	$15.85	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $83.18	Professional	TC	$19.05	$33.88	$83.18