Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.60 / $26.60 / $26.60	Facility	26	$26.60	$26.60	$26.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.48 / $37.53	Professional	26	$9.16	$10.48	$37.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.48 / $16.53 / $40.36	Professional	TC	$14.48	$16.53	$40.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.23 / $33.64 / $49.72	Professional	26	$25.23	$33.64	$49.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $51.15 / $75.61	Professional	TC	$39.04	$51.15	$75.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.25 / $34.58 / $56.09	Professional	26	$27.25	$34.58	$56.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.25 / $51.76 / $81.23	Professional	TC	$42.25	$51.76	$81.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $33.54 / $52.71	Professional	26	$23.96	$33.54	$52.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.36 / $50.55 / $80.01	Professional	TC	$36.36	$50.55	$80.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $30.38 / $37.67	Professional	26	$23.61	$30.38	$37.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $44.22 / $55.72	Professional	TC	$34.61	$44.22	$55.72