Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.14 / $63.14 / $63.14	Facility	26	$63.14	$63.14	$63.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $178.34 / $280.63	Professional		$152.62	$178.34	$280.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.46 / $61.98 / $90.52	Professional	26	$53.46	$61.98	$90.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.93 / $116.95 / $190.10	Professional	TC	$96.93	$116.95	$190.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.36 / $336.86 / $336.86	Professional		$229.36	$336.86	$336.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.30 / $59.30 / $59.87	Professional	26	$59.30	$59.30	$59.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.54 / $277.55 / $277.55	Professional	TC	$151.54	$277.55	$277.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $440.59 / $684.24	Professional		$298.89	$440.59	$684.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $82.47 / $131.79	Professional	26	$59.59	$82.47	$131.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $237.25 / $354.89 / $565.83	Professional	TC	$237.25	$354.89	$565.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $259.95 / $371.36	Professional		$211.00	$259.95	$371.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $71.11 / $87.61 / $125.16	Professional	26	$71.11	$87.61	$125.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $139.88 / $172.34 / $246.20	Professional	TC	$139.88	$172.34	$246.20
United Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $484.55 / $704.80	Professional		$335.70	$484.55	$704.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.46 / $92.57 / $145.34	Professional	26	$63.46	$92.57	$145.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.06 / $366.42 / $563.66	Professional	TC	$269.06	$366.42	$563.66