Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $50.37 / $71.22	Professional		$39.29	$50.37	$71.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $8.32 / $11.34	Professional	26	$6.56	$8.32	$11.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.72 / $42.34 / $60.45	Professional	TC	$32.72	$42.34	$60.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $68.31 / $108.17	Professional		$51.69	$68.31	$108.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.57 / $16.73	Professional	26	$8.46	$10.57	$16.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.24 / $57.34 / $90.78	Professional	TC	$43.24	$57.34	$90.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $60.82 / $88.13	Professional		$41.62	$60.82	$88.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $11.25 / $16.03	Professional	26	$7.51	$11.25	$16.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $48.10 / $74.31	Professional	TC	$32.40	$48.10	$74.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $76.63 / $106.00	Professional		$66.16	$76.63	$106.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $11.87 / $17.07	Professional	26	$10.25	$11.87	$17.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $55.91 / $64.76 / $87.98	Professional	TC	$55.91	$64.76	$87.98
United Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $58.46 / $92.24	Professional		$43.20	$58.46	$92.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $10.56 / $16.42	Professional	26	$7.80	$10.56	$16.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $49.20 / $72.00	Professional	TC	$34.46	$49.20	$72.00