Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.30 / $11.30 / $14.07	Facility	26	$11.30	$11.30	$14.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $35.25 / $50.68	Professional		$29.21	$35.25	$50.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $13.91 / $35.47	Professional	26	$10.44	$13.91	$35.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $22.60 / $34.51	Professional	TC	$18.54	$22.60	$34.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $44.60 / $65.30	Professional		$33.57	$44.60	$65.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.02 / $23.04	Professional	26	$11.75	$15.02	$23.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.77 / $29.89 / $43.76	Professional	TC	$21.77	$29.89	$43.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $48.46 / $79.01	Professional		$33.71	$48.46	$79.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $18.91 / $30.28	Professional	26	$11.91	$18.91	$30.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.42 / $30.87 / $48.53	Professional	TC	$21.42	$30.87	$48.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $49.47 / $67.19	Professional		$39.70	$49.47	$67.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $16.48 / $22.40	Professional	26	$13.23	$16.48	$22.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $32.97 / $44.79	Professional	TC	$26.47	$32.97	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $57.86 / $90.34	Professional		$37.89	$57.86	$90.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $23.21 / $36.10	Professional	26	$14.44	$23.21	$36.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $34.20 / $55.69	Professional	TC	$23.45	$34.20	$55.69