Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.91 / $21.91 / $21.91	Facility	26	$21.91	$21.91	$21.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $50.67 / $92.50	Professional		$38.26	$50.67	$92.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $22.48 / $37.40	Professional	26	$19.73	$22.48	$37.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $30.37 / $61.17	Professional	TC	$18.17	$30.37	$61.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $80.06 / $118.26	Professional		$56.38	$80.06	$118.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $28.11 / $41.01	Professional	26	$21.70	$28.11	$41.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $52.15 / $77.25	Professional	TC	$35.56	$52.15	$77.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $68.51 / $111.72	Professional		$45.93	$68.51	$111.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $29.47 / $49.49	Professional	26	$23.25	$29.47	$49.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $39.59 / $63.09	Professional	TC	$19.69	$39.59	$63.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $78.08 / $141.66	Professional		$55.77	$78.08	$141.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $27.64 / $49.35	Professional	26	$19.73	$27.64	$49.35
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.03 / $50.44 / $80.52	Professional	TC	$36.03	$50.44	$80.52
United Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $67.61 / $105.34	Professional		$43.29	$67.61	$105.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $31.79 / $46.76	Professional	26	$23.18	$31.79	$46.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $36.21 / $61.57	Professional	TC	$19.07	$36.21	$61.57