Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $71.63	Facility	26	$31.07	$31.07	$71.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $145.34 / $210.75	Professional		$110.70	$145.34	$210.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $44.51 / $172.19	Professional	26	$29.17	$44.51	$172.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.05 / $102.92 / $159.12	Professional	TC	$84.05	$102.92	$159.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.78 / $189.78 / $227.75	Professional		$189.78	$189.78	$227.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $43.04 / $51.65	Professional	26	$43.04	$43.04	$51.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.74 / $146.74 / $176.10	Professional	TC	$146.74	$146.74	$176.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $91.68 / $279.73	Professional		$69.48	$91.68	$279.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.44 / $29.06 / $91.22	Professional	26	$20.44	$29.06	$91.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.74 / $67.70 / $209.90	Professional	TC	$43.74	$67.70	$209.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.30 / $253.87 / $423.12	Professional		$176.30	$253.87	$423.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.88 / $58.87 / $138.16	Professional	26	$40.88	$58.87	$138.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $135.41 / $195.00 / $325.01	Professional	TC	$135.41	$195.00	$325.01
United Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $110.44 / $348.61	Professional		$92.62	$110.44	$348.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $33.90 / $106.11	Professional	26	$27.50	$33.90	$106.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.21 / $82.94 / $259.01	Professional	TC	$58.21	$82.94	$259.01