Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $50.30 / $69.05	Professional		$41.91	$50.30	$69.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $18.26 / $25.96	Professional	26	$15.74	$18.26	$25.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $32.04 / $43.08	Professional	TC	$26.18	$32.04	$43.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $71.84 / $147.99	Professional		$71.84	$71.84	$147.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.07 / $25.07 / $51.65	Professional	26	$25.07	$25.07	$51.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.76 / $46.76 / $96.33	Professional	TC	$46.76	$46.76	$96.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $35.85 / $103.69	Professional		$27.15	$35.85	$103.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $12.95 / $47.07	Professional	26	$9.50	$12.95	$47.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $24.42 / $66.65	Professional	TC	$17.64	$24.42	$66.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $93.98 / $259.07	Professional		$79.42	$93.98	$259.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $34.11 / $91.22	Professional	26	$28.82	$34.11	$91.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $59.87 / $167.86	Professional	TC	$50.59	$59.87	$167.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $48.02 / $150.13	Professional		$36.57	$48.02	$150.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $19.20 / $55.58	Professional	26	$12.77	$19.20	$55.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $30.79 / $97.41	Professional	TC	$23.80	$30.79	$97.41