Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.57 / $24.57 / $43.78	Facility	26	$24.57	$24.57	$43.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $128.43 / $206.99	Professional		$110.97	$128.43	$206.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $22.61 / $34.72	Professional	26	$14.49	$22.61	$34.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.10 / $112.49 / $172.15	Professional	TC	$94.10	$112.49	$172.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $130.47 / $134.13	Professional		$130.47	$130.47	$134.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $23.04 / $23.04	Professional	26	$23.04	$23.04	$23.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.43 / $107.43 / $109.19	Professional	TC	$107.43	$107.43	$109.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $191.39 / $306.08	Professional		$135.06	$191.39	$306.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $30.32 / $49.16	Professional	26	$18.54	$30.32	$49.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.63 / $163.84 / $252.90	Professional	TC	$112.63	$163.84	$252.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $190.19 / $271.70	Professional		$154.38	$190.19	$271.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.68 / $34.10 / $48.71	Professional	26	$27.68	$34.10	$48.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $126.70 / $156.09 / $222.99	Professional	TC	$126.70	$156.09	$222.99
United Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $219.39 / $328.43	Professional		$145.60	$219.39	$328.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $34.35 / $60.19	Professional	26	$19.78	$34.35	$60.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.54 / $184.80 / $318.33	Professional	TC	$120.54	$184.80	$318.33