Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $90.13 / $128.86	Professional		$66.40	$90.13	$128.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $24.80 / $32.65	Professional	26	$20.29	$24.80	$32.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.11 / $64.47 / $96.20	Professional	TC	$46.11	$64.47	$96.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $264.57	Professional		$128.44	$128.44	$264.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $32.86 / $67.70	Professional	26	$32.86	$32.86	$67.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.23 / $95.23 / $196.16	Professional	TC	$95.23	$95.23	$196.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.53 / $183.44	Professional		$33.11	$60.53	$183.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $16.47 / $57.50	Professional	26	$11.28	$16.47	$57.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $44.78 / $136.24	Professional	TC	$21.84	$44.78	$136.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $187.94 / $493.54	Professional		$158.82	$187.94	$493.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.15 / $46.33 / $121.33	Professional	26	$39.15	$46.33	$121.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $119.68 / $141.62 / $372.21	Professional	TC	$119.68	$141.62	$372.21
United Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $99.08 / $269.91	Professional		$44.58	$99.08	$269.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $20.35 / $67.84	Professional	26	$15.15	$20.35	$67.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.43 / $57.52 / $165.30	Professional	TC	$29.43	$57.52	$165.30