Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $69.18 / $101.46	Professional		$58.26	$69.18	$101.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.42 / $44.90 / $213.92	Professional	26	$38.42	$44.90	$213.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $24.28 / $37.85	Professional	TC	$17.97	$24.28	$37.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $96.24 / $198.26	Professional		$96.24	$96.24	$198.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.01 / $62.01 / $127.75	Professional	26	$62.01	$62.01	$127.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.22 / $34.22 / $70.50	Professional	TC	$34.22	$34.22	$70.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $52.34 / $162.00	Professional		$40.50	$52.34	$162.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $32.97 / $128.81	Professional	26	$26.71	$32.97	$128.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $17.04 / $50.48	Professional	TC	$12.39	$17.04	$50.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $129.25 / $346.93	Professional		$109.22	$129.25	$346.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $83.89 / $223.02	Professional	26	$70.90	$83.89	$223.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.33 / $45.35 / $123.87	Professional	TC	$38.33	$45.35	$123.87
United Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $62.76 / $198.79	Professional		$54.53	$62.76	$198.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $39.19 / $130.63	Professional	26	$35.54	$39.19	$130.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $22.70 / $61.10	Professional	TC	$16.03	$22.70	$61.10