Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.42 / $39.43 / $48.65	Facility	26	$39.42	$39.43	$48.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $78.80 / $130.19	Professional		$61.28	$78.80	$130.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $42.54 / $73.11	Professional	26	$35.10	$42.54	$73.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.48 / $35.86 / $71.59	Professional	TC	$22.48	$35.86	$71.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $112.54 / $164.67	Professional		$79.26	$112.54	$164.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $50.69 / $73.84	Professional	26	$38.72	$50.69	$73.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.12 / $61.76 / $90.83	Professional	TC	$42.12	$61.76	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $97.50 / $152.69	Professional		$71.01	$97.50	$152.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.83 / $53.94 / $89.89	Professional	26	$41.83	$53.94	$89.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $46.74 / $74.22	Professional	TC	$23.92	$46.74	$74.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $108.75 / $194.20	Professional		$77.68	$108.75	$194.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $49.73 / $88.80	Professional	26	$35.52	$49.73	$88.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.16 / $59.02 / $92.75	Professional	TC	$42.16	$59.02	$92.75
United Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $105.09 / $166.56	Professional		$69.61	$105.09	$166.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.80 / $57.60 / $83.38	Professional	26	$41.80	$57.60	$83.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $42.78 / $67.73	Professional	TC	$23.31	$42.78	$67.73