Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $22.21 / $22.21	Facility	26	$22.21	$22.21	$22.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $46.66 / $86.47	Professional		$29.85	$46.66	$86.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.89 / $31.67	Professional	26	$19.55	$21.89	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.28 / $27.62 / $54.79	Professional	TC	$10.28	$27.62	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $75.94 / $111.91	Professional		$52.60	$75.94	$111.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $29.03 / $41.80	Professional	26	$21.77	$29.03	$41.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $47.58 / $70.09	Professional	TC	$32.44	$47.58	$70.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $64.09 / $96.73	Professional		$37.38	$64.09	$96.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $29.26 / $49.28	Professional	26	$23.22	$29.26	$49.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.76 / $35.14 / $57.24	Professional	TC	$11.76	$35.14	$57.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $73.20 / $115.04	Professional		$52.29	$73.20	$115.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.01 / $28.01 / $50.03	Professional	26	$20.01	$28.01	$50.03
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.28 / $44.87 / $71.02	Professional	TC	$32.28	$44.87	$71.02
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $64.13 / $106.02	Professional		$37.79	$64.13	$106.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.80 / $30.88 / $47.65	Professional	26	$22.80	$30.88	$47.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.20 / $32.99 / $51.96	Professional	TC	$11.20	$32.99	$51.96