Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.98 / $26.98 / $26.98	Facility	26	$26.98	$26.98	$26.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $54.67 / $98.84	Professional		$43.79	$54.67	$98.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $27.76 / $41.86	Professional	26	$23.74	$27.76	$41.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $29.74 / $58.84	Professional	TC	$17.80	$29.74	$58.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $86.01 / $125.79	Professional		$60.57	$86.01	$125.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $35.02 / $50.68	Professional	26	$26.85	$35.02	$50.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.94 / $51.24 / $75.11	Professional	TC	$34.94	$51.24	$75.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $73.87 / $116.40	Professional		$51.32	$73.87	$116.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.56 / $36.77 / $61.74	Professional	26	$28.56	$36.77	$61.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $38.69 / $61.34	Professional	TC	$19.57	$38.69	$61.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $82.56 / $149.78	Professional		$58.97	$82.56	$149.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $34.02 / $60.75	Professional	26	$24.30	$34.02	$60.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.54 / $76.27	Professional	TC	$34.67	$48.54	$76.27
United Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $74.06 / $118.48	Professional		$48.24	$74.06	$118.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $38.84 / $63.76	Professional	26	$27.07	$38.84	$63.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $35.29 / $60.02	Professional	TC	$18.89	$35.29	$60.02