Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $299.29 / $465.09	Professional		$246.40	$299.29	$465.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.25 / $46.80 / $64.92	Professional	26	$40.25	$46.80	$64.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.15 / $252.48 / $385.02	Professional	TC	$206.15	$252.48	$385.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.86 / $417.86 / $860.75	Professional		$417.86	$417.86	$860.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.71 / $63.71 / $131.24	Professional	26	$63.71	$63.71	$131.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.15 / $354.15 / $729.51	Professional	TC	$354.15	$354.15	$729.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $196.90 / $597.49	Professional		$96.35	$196.90	$597.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $32.75 / $114.37	Professional	26	$29.59	$32.75	$114.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.76 / $163.94 / $506.54	Professional	TC	$66.76	$163.94	$506.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.56 / $559.20 / $1,525.15	Professional		$472.56	$559.20	$1,525.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $87.44 / $231.25	Professional	26	$73.90	$87.44	$231.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $398.65 / $471.74 / $1,293.85	Professional	TC	$398.65	$471.74	$1,293.85
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $247.07 / $848.37	Professional		$129.41	$247.07	$848.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $41.62 / $134.97	Professional	26	$37.31	$41.62	$134.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.81 / $206.57 / $787.56	Professional	TC	$89.81	$206.57	$787.56