Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $88.13 / $205.37	Professional		$74.45	$88.13	$205.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.89 / $64.65 / $103.37	Professional	26	$54.89	$64.65	$103.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $25.38 / $37.47	Professional	TC	$18.98	$25.38	$37.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $117.25 / $241.54	Professional		$117.25	$117.25	$241.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.43 / $87.43 / $180.10	Professional	26	$87.43	$87.43	$180.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.82 / $29.82 / $66.00	Professional	TC	$29.82	$29.82	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $73.11 / $218.00	Professional		$54.81	$73.11	$218.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.01 / $62.63 / $154.29	Professional	26	$38.01	$62.63	$154.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.77 / $24.58 / $71.00	Professional	TC	$12.77	$24.58	$71.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $164.22 / $435.27	Professional		$138.78	$164.22	$435.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.08 / $120.80 / $320.44	Professional	26	$102.08	$120.80	$320.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.70 / $43.42 / $114.83	Professional	TC	$36.70	$43.42	$114.83
United Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $84.83 / $269.12	Professional		$68.90	$84.83	$269.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.57 / $77.31 / $181.90	Professional	26	$49.57	$77.31	$181.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $33.76 / $61.82	Professional	TC	$16.02	$33.76	$61.82