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 $5.82 / $6.66 / $37.96	Professional	26	$5.82	$6.66	$37.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $22.58 / $130.49	Professional	TC	$18.57	$22.58	$130.49
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 $83.83 / $110.61 / $163.47	Professional	TC	$83.83	$110.61	$163.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.25 / $34.52 / $54.17	Professional	26	$27.25	$34.52	$54.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.76 / $111.72 / $185.34	Professional	TC	$90.76	$111.72	$185.34
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 $77.84 / $108.21 / $171.27	Professional	TC	$77.84	$108.21	$171.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $31.59 / $37.67	Professional	26	$23.61	$31.59	$37.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.08 / $96.54 / $119.71	Professional	TC	$74.08	$96.54	$119.71