Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $22.52 / $30.58	Professional		$18.88	$22.52	$30.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.51 / $15.79 / $147.08	Professional	26	$13.51	$15.79	$147.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.62 / $5.53 / $8.22	Professional	TC	$4.62	$5.53	$8.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $62.43	Professional		$18.09	$18.09	$62.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $13.01 / $44.89	Professional	26	$13.01	$13.01	$44.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.08 / $5.08 / $17.53	Professional	TC	$5.08	$5.08	$17.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $15.11 / $44.83	Professional		$13.14	$15.11	$44.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $11.48 / $33.50	Professional	26	$10.14	$11.48	$33.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.00 / $3.97 / $12.21	Professional	TC	$3.00	$3.97	$12.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $42.07 / $111.22	Professional		$35.56	$42.07	$111.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.92 / $29.49 / $78.89	Professional	26	$24.92	$29.49	$78.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.63 / $12.58 / $32.32	Professional	TC	$10.63	$12.58	$32.32
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $18.64 / $60.64	Professional		$17.57	$18.64	$60.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $14.33 / $47.59	Professional	26	$12.58	$14.33	$47.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.11 / $4.99 / $14.88	Professional	TC	$4.11	$4.99	$14.88