Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.71 / $71.01 / $120.78	Facility	26	$58.71	$71.01	$120.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.91 / $292.43 / $488.35	Professional		$236.91	$292.43	$488.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.49 / $84.15 / $187.23	Professional	26	$52.49	$84.15	$187.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $214.42 / $357.62	Professional	TC	$162.34	$214.42	$357.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.94 / $280.94 / $285.13	Professional		$280.94	$280.94	$285.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.57 / $55.57 / $91.01	Professional	26	$55.57	$55.57	$91.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $225.36 / $225.36 / $225.36	Professional	TC	$225.36	$225.36	$225.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.58 / $62.58 / $62.58	Facility	26	$62.58	$62.58	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $427.20 / $683.65	Professional		$295.11	$427.20	$683.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.81 / $94.82 / $153.83	Professional	26	$61.81	$94.82	$153.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $232.90 / $331.31 / $529.08	Professional	TC	$232.90	$331.31	$529.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.31 / $405.71 / $579.59	Professional		$329.31	$405.71	$579.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.14 / $81.48 / $116.40	Professional	26	$66.14	$81.48	$116.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $263.18 / $324.23 / $463.19	Professional	TC	$263.18	$324.23	$463.19
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $472.05 / $639.89	Professional		$319.20	$472.05	$639.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $105.30 / $176.49	Professional	26	$66.84	$105.30	$176.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.19 / $373.66 / $495.99	Professional	TC	$253.19	$373.66	$495.99