Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.68 / $73.69 / $107.70	Facility	26	$73.68	$73.69	$107.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $216.19 / $340.61	Professional		$178.61	$216.19	$340.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.27 / $79.45 / $234.83	Professional	26	$64.27	$79.45	$234.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.34 / $147.27 / $216.62	Professional	TC	$114.34	$147.27	$216.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $276.20 / $389.05	Professional		$210.65	$276.20	$389.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.02 / $98.02 / $137.59	Professional	26	$76.02	$98.02	$137.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.79 / $178.04 / $250.78	Professional	TC	$135.79	$178.04	$250.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.88 / $280.31 / $493.55	Professional		$204.88	$280.31	$493.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.05 / $102.36 / $188.63	Professional	26	$79.05	$102.36	$188.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.32 / $179.04 / $313.13	Professional	TC	$126.32	$179.04	$313.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $282.98 / $404.25	Professional		$229.69	$282.98	$404.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.99 / $102.24 / $146.06	Professional	26	$82.99	$102.24	$146.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $146.69 / $180.73 / $258.19	Professional	TC	$146.69	$180.73	$258.19
United Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $300.16 / $470.48	Professional		$212.05	$300.16	$470.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.77 / $111.50 / $165.64	Professional	26	$76.77	$111.50	$165.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.60 / $182.00 / $309.39	Professional	TC	$133.60	$182.00	$309.39