Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.93 / $26.93 / $26.93	Facility	26	$26.93	$26.93	$26.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $26.64 / $45.89	Professional		$19.67	$26.64	$45.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $20.72 / $26.90	Professional	26	$16.68	$20.72	$26.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.50 / $26.54	Professional	TC	$3.02	$4.50	$26.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $33.74 / $51.77	Professional		$25.75	$33.74	$51.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.34 / $26.68 / $37.15	Professional	26	$19.34	$26.68	$37.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $5.77 / $15.37	Professional	TC	$3.97	$5.77	$15.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $38.10 / $74.39	Professional		$22.67	$38.10	$74.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $25.47 / $35.13	Professional	26	$17.48	$25.47	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.91 / $6.42 / $39.92	Professional	TC	$2.91	$6.42	$39.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $32.27 / $54.60	Professional		$24.82	$32.27	$54.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $26.60 / $45.01	Professional	26	$20.46	$26.60	$45.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.34 / $5.66 / $9.57	Professional	TC	$4.34	$5.66	$9.57
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $37.40 / $71.11	Professional		$24.68	$37.40	$71.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $25.20 / $73.34	Professional	26	$19.47	$25.20	$73.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.68 / $6.24 / $42.23	Professional	TC	$3.68	$6.24	$42.23