Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.20 / $64.20 / $76.79	Facility	26	$64.20	$64.20	$76.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $157.03 / $223.06	Professional		$106.18	$157.03	$223.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.55 / $64.20 / $91.76	Professional	26	$53.55	$64.20	$91.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.75 / $80.53 / $142.32	Professional	TC	$52.75	$80.53	$142.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $120.64 / $156.36	Professional		$120.64	$120.64	$156.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.64 / $59.64 / $65.42	Professional	26	$59.64	$59.64	$65.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.00 / $61.00 / $91.11	Professional	TC	$61.00	$61.00	$91.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $193.60 / $321.36	Professional		$132.29	$193.60	$321.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.79 / $85.75 / $139.82	Professional	26	$62.79	$85.75	$139.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.61 / $103.89 / $181.14	Professional	TC	$65.61	$103.89	$181.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $180.23 / $257.47	Professional		$146.29	$180.23	$257.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.30 / $89.07 / $127.25	Professional	26	$72.30	$89.07	$127.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $73.98 / $91.15 / $130.22	Professional	TC	$73.98	$91.15	$130.22
United Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $214.81 / $312.93	Professional		$140.21	$214.81	$312.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.23 / $100.44 / $213.95	Professional	26	$69.23	$100.44	$213.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.40 / $109.20 / $188.67	Professional	TC	$68.40	$109.20	$188.67