Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $179.84 / $258.14	Professional		$129.78	$179.84	$258.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.88 / $88.23 / $131.02	Professional	26	$75.88	$88.23	$131.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.90 / $91.28 / $127.12	Professional	TC	$53.90	$91.28	$127.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.31 / $242.31 / $499.14	Professional		$242.31	$242.31	$499.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.35 / $123.35 / $254.10	Professional	26	$123.35	$123.35	$254.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.95 / $118.95 / $245.03	Professional	TC	$118.95	$118.95	$245.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $125.37 / $411.48	Professional		$109.82	$125.37	$411.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $74.70 / $266.47	Professional	26	$58.59	$74.70	$266.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.14 / $64.06 / $185.09	Professional	TC	$46.14	$64.06	$185.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.97 / $336.03 / $895.45	Professional		$283.97	$336.03	$895.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $139.31 / $164.85 / $443.13	Professional	26	$139.31	$164.85	$443.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $144.66 / $171.18 / $452.32	Professional	TC	$144.66	$171.18	$452.32
United Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $173.28 / $533.39	Professional		$141.01	$173.28	$533.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.93 / $82.88 / $267.77	Professional	26	$74.93	$82.88	$267.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $89.14 / $243.55	Professional	TC	$63.88	$89.14	$243.55