Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $150.05 / $232.80	Professional		$75.65	$150.05	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $16.96 / $24.92	Professional	26	$14.63	$16.96	$24.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.68 / $133.09 / $201.53	Professional	TC	$59.68	$133.09	$201.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.82 / $212.82 / $438.40	Professional		$212.82	$212.82	$438.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $23.72 / $52.50	Professional	26	$23.72	$23.72	$52.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.44 / $189.44 / $390.23	Professional	TC	$189.44	$189.44	$390.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $100.17 / $316.73	Professional		$71.59	$100.17	$316.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $24.94 / $72.04	Professional	26	$11.65	$24.94	$72.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.96 / $89.34 / $242.99	Professional	TC	$60.96	$89.34	$242.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.93 / $280.36 / $776.89	Professional		$236.93	$280.36	$776.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $31.69 / $84.76	Professional	26	$26.78	$31.69	$84.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $210.14 / $248.67 / $692.17	Professional	TC	$210.14	$248.67	$692.17
United Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $155.52 / $376.20	Professional		$109.78	$155.52	$376.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.03 / $32.29 / $60.16	Professional	26	$14.03	$32.29	$60.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.48 / $107.05 / $313.98	Professional	TC	$78.48	$107.05	$313.98