Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.48 / $29.48 / $29.49	Facility	26	$29.48	$29.48	$29.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $63.26 / $104.67	Professional		$52.47	$63.26	$104.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.69 / $29.30 / $44.59	Professional	26	$24.69	$29.30	$44.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $34.72 / $61.98	Professional	TC	$27.81	$34.72	$61.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $86.01 / $122.97	Professional		$63.40	$86.01	$122.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $37.51 / $53.63	Professional	26	$28.34	$37.51	$53.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $48.49 / $69.33	Professional	TC	$34.52	$48.49	$69.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $81.31 / $131.61	Professional		$61.95	$81.31	$131.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.50 / $37.61 / $56.24	Professional	26	$28.50	$37.61	$56.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.22 / $69.09	Professional	TC	$32.36	$43.22	$69.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $89.61 / $127.10	Professional		$63.55	$89.61	$127.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $37.72 / $53.14	Professional	26	$26.57	$37.72	$53.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $52.14 / $73.95	Professional	TC	$36.97	$52.14	$73.95
United Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $83.50 / $122.57	Professional		$58.46	$83.50	$122.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.56 / $39.69 / $58.05	Professional	26	$28.56	$39.69	$58.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $43.68 / $60.90	Professional	TC	$31.04	$43.68	$60.90