Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $111.10 / $159.59	Professional		$58.68	$111.10	$159.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.35 / $26.05 / $54.90	Professional	26	$22.35	$26.05	$54.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $84.00 / $122.83	Professional	TC	$35.54	$84.00	$122.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $159.96 / $329.50	Professional		$159.96	$159.96	$329.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.92 / $35.92 / $73.98	Professional	26	$35.92	$35.92	$73.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.03 / $124.03 / $255.50	Professional	TC	$124.03	$124.03	$255.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $73.09 / $219.00	Professional		$43.57	$73.09	$219.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $28.63 / $81.65	Professional	26	$17.14	$28.63	$81.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $50.28 / $145.96	Professional	TC	$24.90	$50.28	$145.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $207.59 / $577.12	Professional		$175.43	$207.59	$577.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.12 / $48.66 / $130.15	Professional	26	$41.12	$48.66	$130.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $134.29 / $158.91 / $446.97	Professional	TC	$134.29	$158.91	$446.97
United Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $89.87 / $256.95	Professional		$57.99	$89.87	$256.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $25.11 / $77.31	Professional	26	$22.52	$25.11	$77.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $58.13 / $172.80	Professional	TC	$33.43	$58.13	$172.80