Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $30.90	Professional		$10.00	$14.13	$30.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $7.41 / $22.39	Professional	26	$3.02	$7.41	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $8.91 / $22.91	Professional	TC	$7.08	$8.91	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $30.20	Professional		$16.98	$16.98	$30.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $4.37 / $7.59	Professional	26	$4.37	$4.37	$7.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $12.30 / $23.44	Professional	TC	$12.30	$12.30	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.75 / $32.36	Professional		$7.24	$11.75	$32.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $1.91 / $3.80 / $11.22	Professional	26	$1.91	$3.80	$11.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $8.51 / $24.55	Professional	TC	$5.13	$8.51	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.17 / $6.17	Professional	26	$6.17	$6.17	$6.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $26.92	Professional		$15.14	$16.98	$26.92
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $4.37 / $7.24	Professional	26	$4.07	$4.37	$7.24
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $12.59 / $19.50	Professional	TC	$10.96	$12.59	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $32.36	Professional		$9.55	$13.80	$32.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.51 / $2.82 / $9.12	Professional	26	$2.51	$2.82	$9.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.22 / $22.91	Professional	TC	$6.76	$11.22	$22.91