Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.13 / $44.13 / $44.13	Facility	26	$44.13	$44.13	$44.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $78.55 / $135.84	Professional		$69.45	$78.55	$135.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.12 / $47.13 / $71.31	Professional	26	$41.12	$47.13	$71.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.07 / $38.00 / $72.75	Professional	TC	$26.07	$38.00	$72.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $120.75 / $175.11	Professional		$86.80	$120.75	$175.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.93 / $57.15 / $82.85	Professional	26	$43.93	$57.15	$82.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.00 / $62.67 / $92.25	Professional	TC	$43.00	$62.67	$92.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $107.27 / $175.07	Professional		$80.01	$107.27	$175.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.28 / $61.12 / $101.11	Professional	26	$48.28	$61.12	$101.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.49 / $47.75 / $75.39	Professional	TC	$27.49	$47.75	$75.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $115.64 / $206.50	Professional		$82.60	$115.64	$206.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.76 / $55.66 / $99.40	Professional	26	$39.76	$55.66	$99.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.84 / $59.98 / $94.25	Professional	TC	$42.84	$59.98	$94.25
United Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $108.07 / $155.05	Professional		$77.04	$108.07	$155.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.34 / $64.73 / $94.24	Professional	26	$48.34	$64.73	$94.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $43.69 / $74.03	Professional	TC	$26.63	$43.69	$74.03