Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.72 / $8.72 / $10.50	Facility	26	$8.72	$8.72	$10.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $36.29 / $54.33	Professional		$25.72	$36.29	$54.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.72 / $15.00	Professional	26	$7.36	$8.72	$15.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $26.44 / $35.58	Professional	TC	$17.63	$26.44	$35.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $37.97 / $54.29	Professional		$29.88	$37.97	$54.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $10.98 / $16.02	Professional	26	$8.28	$10.98	$16.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $26.99 / $38.59	Professional	TC	$21.24	$26.99	$38.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $43.50 / $69.98	Professional		$32.24	$43.50	$69.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $11.13 / $17.00	Professional	26	$8.48	$11.13	$17.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $31.95 / $53.52	Professional	TC	$22.95	$31.95	$53.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.11 / $55.08	Professional		$27.54	$39.11	$55.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $11.15 / $15.70	Professional	26	$7.85	$11.15	$15.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $19.68 / $27.75 / $39.36	Professional	TC	$19.68	$27.75	$39.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $49.07 / $71.40	Professional		$33.85	$49.07	$71.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $11.97 / $16.79	Professional	26	$8.40	$11.97	$16.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $36.47 / $52.94	Professional	TC	$24.78	$36.47	$52.94