Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.25 / $32.25 / $32.25	Facility	26	$32.25	$32.25	$32.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $30.65 / $45.90	Professional		$22.33	$30.65	$45.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $23.88 / $32.22	Professional	26	$17.85	$23.88	$32.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.17 / $15.28 / $22.95	Professional	52	$11.17	$15.28	$22.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $4.45 / $29.78	Professional	TC	$2.70	$4.45	$29.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $39.07 / $58.74	Professional		$29.82	$39.07	$58.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.13 / $31.09 / $43.38	Professional	26	$20.13	$31.09	$43.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.73 / $5.77 / $15.37	Professional	TC	$3.73	$5.77	$15.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $44.44 / $81.04	Professional		$26.62	$44.44	$81.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $27.09 / $41.68	Professional	26	$16.78	$27.09	$41.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $6.16 / $45.68	Professional	TC	$2.70	$6.16	$45.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $36.99 / $62.59	Professional		$28.45	$36.99	$62.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $31.76 / $53.75	Professional	26	$24.43	$31.76	$53.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.01 / $5.21 / $8.82	Professional	TC	$4.01	$5.21	$8.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $42.45 / $78.72	Professional		$28.63	$42.45	$78.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.21 / $26.74 / $56.11	Professional	26	$17.21	$26.74	$56.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $6.73 / $50.74	Professional	TC	$3.47	$6.73	$50.74