Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.53 / $24.53 / $56.58	Facility	26	$24.53	$24.53	$56.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $99.29 / $182.90	Professional		$82.10	$99.29	$182.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.43 / $24.89 / $126.62	Professional	26	$22.43	$24.89	$126.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.30 / $74.76 / $111.45	Professional	TC	$59.30	$74.76	$111.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $143.69 / $172.44	Professional		$143.69	$143.69	$172.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $34.22 / $41.07	Professional	26	$34.22	$34.22	$41.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.46 / $109.46 / $131.36	Professional	TC	$109.46	$109.46	$131.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $67.47 / $205.32	Professional		$43.75	$67.47	$205.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $17.42 / $61.26	Professional	26	$12.25	$17.42	$61.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.50 / $51.58 / $156.59	Professional	TC	$31.50	$51.58	$156.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $188.14 / $384.00	Professional		$130.65	$188.14	$384.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $46.50 / $107.52	Professional	26	$32.29	$46.50	$107.52
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $98.36 / $141.63 / $276.48	Professional	TC	$98.36	$141.63	$276.48
United Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $84.23 / $264.60	Professional		$58.86	$84.23	$264.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.45 / $21.65 / $68.59	Professional	26	$16.45	$21.65	$68.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.41 / $62.58 / $187.74	Professional	TC	$42.41	$62.58	$187.74