Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.36 / $47.36 / $47.36	Facility	26	$47.36	$47.36	$47.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $61.70 / $90.00	Professional		$45.39	$61.70	$90.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $37.15 / $48.75	Professional	26	$26.35	$37.15	$48.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $25.73 / $34.90	Professional	TC	$19.04	$25.73	$34.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $81.51 / $113.74	Professional		$48.59	$81.51	$113.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $46.59 / $64.48	Professional	26	$29.02	$46.59	$64.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $35.29 / $49.24	Professional	TC	$19.80	$35.29	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $72.40 / $105.64	Professional		$50.01	$72.40	$105.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $43.97 / $62.75	Professional	26	$29.40	$43.97	$62.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $27.96 / $44.56	Professional	TC	$18.80	$27.96	$44.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $83.08 / $126.54	Professional		$63.91	$83.08	$126.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $46.87 / $72.56	Professional	26	$36.04	$46.87	$72.56
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $36.22 / $55.16	Professional	TC	$27.86	$36.22	$55.16
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $71.59 / $116.28	Professional		$52.82	$71.59	$116.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $42.72 / $70.63	Professional	26	$32.83	$42.72	$70.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $27.75 / $44.99	Professional	TC	$19.80	$27.75	$44.99