Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.72 / $49.05 / $161.56	Facility	26	$40.72	$49.05	$161.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $219.03 / $310.44	Professional		$134.55	$219.03	$310.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.42 / $56.89 / $124.91	Professional	26	$35.42	$56.89	$124.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.37 / $161.38 / $207.31	Professional	TC	$99.37	$161.38	$207.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $167.41 / $191.41	Professional		$167.41	$167.41	$191.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $38.29 / $52.10	Professional	26	$38.29	$38.29	$52.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.12 / $129.12 / $140.16	Professional	TC	$129.12	$129.12	$140.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.49 / $250.28 / $394.36	Professional		$176.49	$250.28	$394.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.74 / $63.55 / $102.31	Professional	26	$42.74	$63.55	$102.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.63 / $186.81 / $287.85	Professional	TC	$134.63	$186.81	$287.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $228.74 / $326.77	Professional		$185.66	$228.74	$326.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $56.50 / $93.19	Professional	26	$45.86	$56.50	$93.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $139.80 / $172.23 / $246.05	Professional	TC	$139.80	$172.23	$246.05
United Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $279.66 / $418.65	Professional		$185.60	$279.66	$418.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $70.15 / $101.99	Professional	26	$46.26	$70.15	$101.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.91 / $212.66 / $287.83	Professional	TC	$143.91	$212.66	$287.83