Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $47.38 / $68.89	Professional		$34.15	$47.38	$68.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $20.71 / $27.39	Professional	26	$15.11	$20.71	$27.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $25.96 / $48.18	Professional	TC	$19.04	$25.96	$48.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $62.46 / $84.42	Professional		$47.56	$62.46	$84.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.61 / $26.26 / $36.40	Professional	26	$18.61	$26.26	$36.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $35.85 / $50.76	Professional	TC	$27.78	$35.85	$50.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $66.17 / $99.25	Professional		$37.54	$66.17	$99.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.97 / $26.66 / $37.95	Professional	26	$16.97	$26.66	$37.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $37.85 / $64.75	Professional	TC	$20.18	$37.85	$64.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $61.05 / $92.98	Professional		$46.96	$61.05	$92.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.12 / $26.16 / $39.84	Professional	26	$20.12	$26.16	$39.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.83 / $34.88 / $53.94	Professional	TC	$26.83	$34.88	$53.94
United Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $66.95 / $94.30	Professional		$46.94	$66.95	$94.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.00 / $48.76	Professional	26	$19.50	$26.00	$48.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $37.68 / $57.62	Professional	TC	$25.16	$37.68	$57.62