Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.45 / $7.62 / $29.45	Facility	26	$0.45	$7.62	$29.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $30.61 / $89.57	Professional		$24.70	$30.61	$89.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $8.44 / $29.60	Professional	26	$6.63	$8.44	$29.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $22.57 / $30.88	Professional	TC	$17.80	$22.57	$30.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $38.32 / $53.92	Professional		$29.21	$38.32	$53.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.31 / $14.23	Professional	26	$7.92	$10.31	$14.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $28.00 / $40.95	Professional	TC	$21.34	$28.00	$40.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $39.44 / $77.53	Professional		$30.07	$39.44	$77.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.70 / $19.66	Professional	26	$8.22	$10.70	$19.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $28.68 / $54.39	Professional	TC	$21.79	$28.68	$54.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $38.36 / $54.80	Professional		$31.14	$38.36	$54.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $10.56 / $15.09	Professional	26	$8.58	$10.56	$15.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.56 / $27.80 / $39.71	Professional	TC	$22.56	$27.80	$39.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.56 / $74.29	Professional		$30.00	$45.56	$74.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $11.90 / $18.95	Professional	26	$7.99	$11.90	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $31.86 / $48.73	Professional	TC	$19.73	$31.86	$48.73