Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.84 / $7.29 / $22.48	Facility	26	$5.84	$7.29	$22.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.90 / $41.12	Professional	26	$5.45	$6.90	$41.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $20.53 / $86.42	Professional	TC	$17.48	$20.53	$86.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $34.46 / $45.23	Professional	26	$19.53	$34.46	$45.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $23.97 / $47.91	Professional	26	$17.97	$23.97	$47.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.86 / $75.81 / $151.54	Professional	TC	$56.86	$75.81	$151.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.86 / $36.07 / $64.64	Professional	26	$25.86	$36.07	$64.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $109.95 / $186.85	Professional	TC	$77.95	$109.95	$186.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $29.86 / $35.52	Professional	26	$21.31	$29.86	$35.52
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $66.55 / $88.73 / $103.52	Professional	TC	$66.55	$88.73	$103.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $44.82 / $72.75	Professional	26	$27.95	$44.82	$72.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.42 / $147.07 / $230.10	Professional	TC	$93.42	$147.07	$230.10