Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.82 / $59.82 / $72.54	Facility	26	$59.82	$59.82	$72.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $96.79 / $161.56	Professional		$81.51	$96.79	$161.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.03 / $61.27 / $95.74	Professional	26	$54.03	$61.27	$95.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.79 / $37.68 / $72.16	Professional	TC	$26.79	$37.68	$72.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $139.65 / $203.13	Professional		$102.68	$139.65	$203.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.73 / $76.97 / $111.58	Professional	26	$57.73	$76.97	$111.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.09 / $62.22 / $91.54	Professional	TC	$46.09	$62.22	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $126.41 / $214.79	Professional		$95.39	$126.41	$214.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.48 / $79.91 / $130.30	Professional	26	$62.48	$79.91	$130.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.31 / $47.25 / $74.80	Professional	TC	$28.31	$47.25	$74.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $134.96 / $241.00	Professional		$96.40	$134.96	$241.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.89 / $75.45 / $134.72	Professional	26	$53.89	$75.45	$134.72
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $59.50 / $106.25	Professional	TC	$42.50	$59.50	$106.25
United Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $128.55 / $254.87	Professional		$91.26	$128.55	$254.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.94 / $84.10 / $120.62	Professional	26	$61.94	$84.10	$120.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $43.55 / $67.16	Professional	TC	$27.75	$43.55	$67.16