Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.92 / $14.92 / $14.92	Facility	26	$14.92	$14.92	$14.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $54.66 / $74.56	Professional		$44.59	$54.66	$74.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $15.07 / $20.07	Professional	26	$13.62	$15.07	$20.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.77 / $39.25 / $54.50	Professional	TC	$30.77	$39.25	$54.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $64.98 / $94.13	Professional		$50.77	$64.98	$94.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $19.35 / $28.61	Professional	26	$15.00	$19.35	$28.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.28 / $45.16 / $65.42	Professional	TC	$35.28	$45.16	$65.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $71.18 / $121.24	Professional		$54.91	$71.18	$121.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $21.27 / $35.00	Professional	26	$16.42	$21.27	$35.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.34 / $50.70 / $83.58	Professional	TC	$38.34	$50.70	$83.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $58.30 / $105.77	Professional		$41.64	$58.30	$105.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $18.82 / $33.60	Professional	26	$13.44	$18.82	$33.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.20 / $39.47 / $70.50	Professional	TC	$28.20	$39.47	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $76.00 / $110.65	Professional		$55.48	$76.00	$110.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $22.48 / $33.52	Professional	26	$16.77	$22.48	$33.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.59 / $53.54 / $80.28	Professional	TC	$39.59	$53.54	$80.28