Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $79.43	Professional		$40.74	$53.70	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $25.70	Professional	26	$15.14	$19.05	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $52.48	Professional	TC	$25.70	$33.88	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $123.03	Professional		$72.44	$72.44	$123.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $42.66	Professional	26	$25.12	$25.12	$42.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $81.28	Professional	TC	$46.77	$46.77	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $109.65	Professional		$26.92	$42.66	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.49 / $40.74	Professional	26	$9.55	$15.49	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $32.36 / $69.18	Professional	TC	$17.78	$32.36	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	26	$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	TC	$58.88	$58.88	$58.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $107.15	Professional		$60.26	$66.07	$107.15
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.99 / $41.69	Professional	26	$23.44	$23.99	$41.69
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $42.66 / $66.07	Professional	TC	$36.31	$42.66	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $147.91	Professional		$36.31	$44.67	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $52.48	Professional	26	$12.88	$16.60	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $95.50	Professional	TC	$23.99	$28.18	$95.50