Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.69 / $15.69 / $19.37	Facility	26	$15.69	$15.69	$19.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $38.79 / $74.34	Professional		$26.23	$38.79	$74.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $15.38 / $22.45	Professional	26	$13.74	$15.38	$22.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $21.86 / $51.90	Professional	TC	$12.47	$21.86	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $65.42 / $95.26	Professional		$46.07	$65.42	$95.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.21 / $20.27 / $29.45	Professional	26	$15.21	$20.27	$29.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.88 / $45.29 / $65.81	Professional	TC	$30.88	$45.29	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $54.98 / $82.43	Professional		$32.10	$54.98	$82.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $20.56 / $34.15	Professional	26	$16.09	$20.56	$34.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.25 / $33.86 / $53.73	Professional	TC	$14.25	$33.86	$53.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $62.61 / $113.59	Professional		$44.72	$62.61	$113.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $19.80 / $35.35	Professional	26	$14.14	$19.80	$35.35
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.58 / $42.81 / $76.45	Professional	TC	$30.58	$42.81	$76.45
United Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $53.48 / $84.85	Professional		$30.80	$53.48	$84.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.91 / $21.85 / $34.29	Professional	26	$15.91	$21.85	$34.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.60 / $32.90 / $51.50	Professional	TC	$13.60	$32.90	$51.50