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 / $53.97	Facility	26	$44.13	$44.13	$53.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $77.64 / $128.88	Professional		$65.54	$77.64	$128.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $45.28 / $68.17	Professional	26	$40.11	$45.28	$68.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $34.51 / $65.80	Professional	TC	$23.20	$34.51	$65.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $113.91 / $165.82	Professional		$81.09	$113.91	$165.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.86 / $57.15 / $82.14	Professional	26	$42.86	$57.15	$82.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.00 / $57.18 / $83.68	Professional	TC	$39.00	$57.18	$83.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $101.54 / $175.22	Professional		$73.84	$101.54	$175.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $59.58 / $100.19	Professional	26	$46.09	$59.58	$100.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $43.22 / $68.36	Professional	TC	$24.79	$43.22	$68.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $109.91 / $196.28	Professional		$78.51	$109.91	$196.28
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 $38.76 / $54.26 / $85.27	Professional	TC	$38.76	$54.26	$85.27
United Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $102.56 / $162.13	Professional		$71.28	$102.56	$162.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.77 / $61.92 / $103.70	Professional	26	$44.77	$61.92	$103.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.79 / $39.56 / $62.08	Professional	TC	$23.79	$39.56	$62.08