Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $47.32	Facility	26	$38.61	$38.61	$47.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $73.66 / $120.91	Professional		$65.28	$73.66	$120.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.21 / $44.39 / $64.48	Professional	26	$36.21	$44.39	$64.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.48 / $31.98 / $61.17	Professional	TC	$22.48	$31.98	$61.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $103.24 / $150.56	Professional		$74.75	$103.24	$150.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $50.23 / $73.88	Professional	26	$38.61	$50.23	$73.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.44 / $52.61 / $77.94	Professional	TC	$36.44	$52.61	$77.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $94.08 / $159.61	Professional		$75.04	$94.08	$159.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.22 / $56.41 / $88.67	Professional	26	$43.22	$56.41	$88.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $40.20 / $63.68	Professional	TC	$23.80	$40.20	$63.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $99.15 / $177.05	Professional		$70.81	$99.15	$177.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $48.71 / $86.98	Professional	26	$34.79	$48.71	$86.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.03 / $50.44 / $79.27	Professional	TC	$36.03	$50.44	$79.27
United Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $93.84 / $136.16	Professional		$70.30	$93.84	$136.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.94 / $58.05 / $90.96	Professional	26	$44.94	$58.05	$90.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $38.06 / $60.62	Professional	TC	$23.01	$38.06	$60.62