Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $106.48 / $148.94	Professional		$72.47	$106.48	$148.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.81 / $41.91	Professional	26	$25.70	$30.81	$41.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $73.67 / $107.03	Professional	TC	$46.77	$73.67	$107.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $149.11 / $307.16	Professional		$149.11	$149.11	$307.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $41.68 / $85.86	Professional	26	$41.68	$41.68	$85.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.77 / $107.77 / $221.99	Professional	TC	$107.77	$107.77	$221.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $91.89 / $265.45	Professional		$61.11	$91.89	$265.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $31.03 / $95.74	Professional	26	$19.64	$31.03	$95.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.49 / $63.54 / $183.56	Professional	TC	$40.49	$63.54	$183.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $214.07 / $568.59	Professional		$180.90	$214.07	$568.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $57.57 / $152.66	Professional	26	$48.65	$57.57	$152.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $132.25 / $156.50 / $415.94	Professional	TC	$132.25	$156.50	$415.94
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $131.90 / $310.01	Professional		$80.33	$131.90	$310.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.41 / $38.97 / $99.07	Professional	26	$25.41	$38.97	$99.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $86.89 / $209.73	Professional	TC	$54.34	$86.89	$209.73