Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.91 / $15.87 / $24.03	Facility	26	$10.91	$15.87	$24.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $61.23 / $84.14	Professional		$37.40	$61.23	$84.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $13.69 / $28.33	Professional	26	$9.68	$13.69	$28.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.99 / $45.65 / $58.84	Professional	TC	$26.99	$45.65	$58.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $56.06 / $77.83	Professional		$43.67	$56.06	$77.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $14.13 / $20.32	Professional	26	$11.01	$14.13	$20.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $41.92 / $58.21	Professional	TC	$32.65	$41.92	$58.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $71.69 / $117.60	Professional		$47.09	$71.69	$117.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $17.27 / $26.18	Professional	26	$11.73	$17.27	$26.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.97 / $54.29 / $91.52	Professional	TC	$34.97	$54.29	$91.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $55.92 / $78.76	Professional		$39.38	$55.92	$78.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $13.94 / $19.64	Professional	26	$9.82	$13.94	$19.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $41.68 / $59.12	Professional	TC	$29.56	$41.68	$59.12
United Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $81.59 / $116.35	Professional		$55.19	$81.59	$116.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $18.72 / $28.83	Professional	26	$12.92	$18.72	$28.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.20 / $63.34 / $94.38	Professional	TC	$43.20	$63.34	$94.38