Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $42.87 / $97.49	Professional		$35.78	$42.87	$97.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $28.01 / $239.89	Professional	26	$22.11	$28.01	$239.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $15.80 / $26.79	Professional	TC	$12.47	$15.80	$26.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $34.56 / $118.67	Professional		$34.56	$34.56	$118.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $21.34 / $73.30	Professional	26	$21.34	$21.34	$73.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.21 / $13.21 / $45.37	Professional	TC	$13.21	$13.21	$45.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $28.74 / $88.20	Professional		$23.15	$28.74	$88.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $21.66 / $71.70	Professional	26	$13.22	$21.66	$71.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.13 / $11.20 / $33.54	Professional	TC	$9.13	$11.20	$33.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.69 / $80.09 / $211.62	Professional		$67.69	$80.09	$211.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $48.29 / $127.82	Professional	26	$40.81	$48.29	$127.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $31.82 / $83.80	Professional	TC	$26.89	$31.82	$83.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $48.47 / $132.02	Professional		$31.16	$48.47	$132.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $22.82 / $86.90	Professional	26	$17.75	$22.82	$86.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $13.41 / $42.08	Professional	TC	$11.69	$13.41	$42.08