Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.96 / $18.96 / $25.61	Facility	26	$18.96	$18.96	$25.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $65.45 / $196.30	Professional		$49.40	$65.45	$196.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $20.48 / $71.86	Professional	26	$16.32	$20.48	$71.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.10 / $45.64 / $61.73	Professional	TC	$32.10	$45.64	$61.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $76.65 / $113.05	Professional		$58.42	$76.65	$113.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $25.87 / $35.92	Professional	26	$19.93	$25.87	$35.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.09 / $51.10 / $76.48	Professional	TC	$39.09	$51.10	$76.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $83.72 / $149.76	Professional		$58.85	$83.72	$149.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $26.37 / $48.68	Professional	26	$20.09	$26.37	$48.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $56.62 / $97.76	Professional	TC	$38.75	$56.62	$97.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $77.59 / $110.86	Professional		$62.99	$77.59	$110.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.36 / $26.32 / $37.60	Professional	26	$21.36	$26.32	$37.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.64 / $51.30 / $73.28	Professional	TC	$41.64	$51.30	$73.28
United Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $92.65 / $148.04	Professional		$60.41	$92.65	$148.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $28.55 / $40.54	Professional	26	$19.76	$28.55	$40.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.61 / $61.47 / $121.03	Professional	TC	$37.61	$61.47	$121.03