Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $48.98	Professional		$20.89	$25.70	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $25.70	Professional	26	$16.98	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $22.91	Professional	TC	$3.02	$3.98	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $60.26	Professional		$22.39	$32.36	$60.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.12 / $37.15	Professional	26	$19.50	$25.12	$37.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $5.50 / $10.47	Professional	TC	$3.39	$5.50	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $70.79	Professional		$21.38	$35.48	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.12 / $35.48	Professional	26	$17.38	$25.12	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $6.03 / $38.02	Professional	TC	$2.82	$6.03	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $186.21	Professional		$36.31	$36.31	$186.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $29.51 / $77.62	Professional	26	$29.51	$29.51	$77.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $6.46 / $112.20	Professional	TC	$6.46	$6.46	$112.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.70 / $35.48	Professional		$24.55	$25.70	$35.48
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.89 / $23.44	Professional	26	$20.42	$20.89	$23.44
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $4.57 / $5.89	Professional	TC	$4.37	$4.57	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $70.79	Professional		$23.99	$37.15	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $37.15	Professional	26	$18.20	$23.99	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $6.46 / $44.67	Professional	TC	$3.63	$6.46	$44.67