Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.06 / $210.45 / $329.56	Professional		$173.06	$210.45	$329.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.05 / $30.24 / $44.39	Professional	26	$26.05	$30.24	$44.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.01 / $182.20 / $284.29	Professional	TC	$147.01	$182.20	$284.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.26 / $320.26 / $659.70	Professional		$320.26	$320.26	$659.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $42.70 / $87.96	Professional	26	$42.70	$42.70	$87.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $277.55 / $277.55 / $571.74	Professional	TC	$277.55	$277.55	$571.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $162.16 / $457.70	Professional		$92.10	$162.16	$457.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $22.39 / $78.37	Professional	26	$20.35	$22.39	$78.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.75 / $140.40 / $396.75	Professional	TC	$71.75	$140.40	$396.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.04 / $392.91 / $1,110.51	Professional		$332.04	$392.91	$1,110.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.75 / $56.50 / $152.36	Professional	26	$47.75	$56.50	$152.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $284.30 / $336.43 / $958.15	Professional	TC	$284.30	$336.43	$958.15
United Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $208.96 / $717.50	Professional		$123.78	$208.96	$717.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.69 / $28.65 / $92.38	Professional	26	$25.69	$28.65	$92.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.52 / $181.24 / $604.14	Professional	TC	$96.52	$181.24	$604.14