Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.57 / $33.57 / $40.46	Facility	26	$33.57	$33.57	$40.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $61.25 / $109.75	Professional		$51.82	$61.25	$109.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.38 / $33.57 / $50.69	Professional	26	$29.38	$33.57	$50.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.25 / $30.67 / $61.73	Professional	TC	$19.25	$30.67	$61.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $95.61 / $140.93	Professional		$68.06	$95.61	$140.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $42.86 / $62.24	Professional	26	$32.22	$42.86	$62.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.19 / $53.07 / $78.68	Professional	TC	$36.19	$53.07	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $83.11 / $128.56	Professional		$60.61	$83.11	$128.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.06 / $45.15 / $75.80	Professional	26	$35.06	$45.15	$75.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.31 / $40.20 / $64.26	Professional	TC	$21.31	$40.20	$64.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $93.27 / $166.55	Professional		$66.62	$93.27	$166.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $42.34 / $75.59	Professional	26	$30.24	$42.34	$75.59
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.36 / $50.92 / $80.01	Professional	TC	$36.36	$50.92	$80.01
United Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $83.79 / $130.35	Professional		$55.13	$83.79	$130.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $46.95 / $71.70	Professional	26	$34.96	$46.95	$71.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.67 / $36.95 / $58.21	Professional	TC	$20.67	$36.95	$58.21