Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $42.37 / $60.31	Professional		$35.65	$42.37	$60.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $27.35 / $38.77	Professional	26	$23.40	$27.35	$38.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.25 / $14.74 / $21.54	Professional	TC	$12.25	$14.74	$21.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $120.07	Professional		$58.29	$58.29	$120.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $37.61 / $77.48	Professional	26	$37.61	$37.61	$77.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.67 / $20.67 / $42.58	Professional	TC	$20.67	$20.67	$42.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $32.09 / $98.85	Professional		$24.72	$32.09	$98.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $20.05 / $78.25	Professional	26	$16.07	$20.05	$78.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.39 / $10.37 / $31.37	Professional	TC	$8.39	$10.37	$31.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $79.17 / $210.40	Professional		$66.90	$79.17	$210.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.19 / $51.11 / $135.38	Professional	26	$43.19	$51.11	$135.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $28.06 / $75.02	Professional	TC	$23.71	$28.06	$75.02
United Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $36.17 / $119.37	Professional		$32.89	$36.17	$119.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $24.33 / $79.40	Professional	26	$21.43	$24.33	$79.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $14.09 / $41.27	Professional	TC	$10.82	$14.09	$41.27