Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,479.11	Professional		$1,174.90	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $213.80 / $257.04	Professional	26	$199.53	$213.80	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $1,023.29 / $1,230.27	Professional	TC	$977.24	$1,023.29	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $524.81 / $645.65	Professional		$169.82	$524.81	$645.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $147.91	Professional	26	$56.23	$83.18	$147.91
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $436.52 / $489.78	Professional	TC	$114.82	$436.52	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $457.09	Professional		$229.09	$302.00	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $53.70 / $83.18	Professional	26	$41.69	$53.70	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $251.19 / $380.19	Professional	TC	$186.21	$251.19	$380.19