Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.25 / $3.29 / $14.25	Facility	26	$0.25	$3.29	$14.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $37.20 / $114.54	Professional		$23.14	$37.20	$114.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.89 / $3.81 / $14.13	Professional	26	$2.89	$3.81	$14.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.54 / $12.80 / $18.27	Professional	52	$10.54	$12.80	$18.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $32.54 / $42.19	Professional	TC	$20.02	$32.54	$42.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $35.86 / $55.16	Professional		$27.33	$35.86	$55.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.44 / $4.42 / $6.25	Professional	26	$3.44	$4.42	$6.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $31.44 / $48.36	Professional	TC	$23.96	$31.44	$48.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $43.18 / $113.77	Professional		$27.90	$43.18	$113.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.65 / $4.73 / $8.26	Professional	26	$3.65	$4.73	$8.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.94 / $37.40 / $91.52	Professional	TC	$24.94	$37.40	$91.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $35.51 / $50.73	Professional		$28.83	$35.51	$50.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.70 / $4.55 / $6.51	Professional	26	$3.70	$4.55	$6.51
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.13 / $30.95 / $44.22	Professional	TC	$25.13	$30.95	$44.22
United Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $44.11 / $90.00	Professional		$27.36	$44.11	$90.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.60 / $5.05 / $7.20	Professional	26	$3.60	$5.05	$7.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $38.52 / $91.08	Professional	TC	$23.31	$38.52	$91.08