Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $19.05 / $29.51	Facility	26	$18.20	$19.05	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $102.33	Professional		$37.15	$53.70	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $46.77	Professional	26	$15.85	$20.89	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.20 / $52.48	Professional	TC	$15.85	$30.20	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $102.33	Professional		$48.98	$69.18	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $36.31	Professional	26	$19.05	$25.12	$36.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $45.71 / $66.07	Professional	TC	$28.18	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $95.50	Professional		$44.67	$60.26	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $48.98	Professional	26	$20.89	$27.54	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $34.67 / $58.88	Professional	TC	$18.62	$34.67	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $144.54	Professional		$46.77	$77.62	$144.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $27.54 / $87.10	Professional	26	$16.22	$27.54	$87.10
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $50.12 / $60.26	Professional	TC	$30.20	$50.12	$60.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $52.48	Professional		$47.86	$50.12	$52.48
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $17.78 / $22.39	Professional	26	$16.98	$17.78	$22.39
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $32.36 / $33.88	Professional	TC	$30.20	$32.36	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $93.33	Professional		$40.74	$58.88	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $42.66	Professional	26	$20.89	$27.54	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $30.90 / $53.70	Professional	TC	$16.98	$30.90	$53.70