Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.62 / $65.62 / $79.09	Facility	26	$65.62	$65.62	$79.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $241.19 / $644.62	Professional		$206.52	$241.19	$644.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.49 / $70.00 / $233.89	Professional	26	$56.49	$70.00	$233.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.60 / $168.03 / $268.64	Professional	TC	$143.60	$168.03	$268.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $324.55 / $479.82	Professional		$251.10	$324.55	$479.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.73 / $87.57 / $127.67	Professional	26	$68.73	$87.57	$127.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.48 / $236.49 / $340.25	Professional	TC	$181.48	$236.49	$340.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.88 / $324.54 / $567.95	Professional		$234.88	$324.54	$567.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.47 / $90.80 / $156.62	Professional	26	$69.47	$90.80	$156.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.52 / $230.70 / $407.59	Professional	TC	$164.52	$230.70	$407.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $334.63 / $478.04	Professional		$271.61	$334.63	$478.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $91.04 / $130.06	Professional	26	$73.90	$91.04	$130.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $197.70 / $243.57 / $347.95	Professional	TC	$197.70	$243.57	$347.95
United Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $334.83 / $526.40	Professional		$237.47	$334.83	$526.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $97.45 / $163.30	Professional	26	$70.04	$97.45	$163.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.42 / $241.01 / $430.38	Professional	TC	$173.42	$241.01	$430.38