Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.85 / $2.86 / $6.95	Facility	26	$2.85	$2.86	$6.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $22.54 / $29.10	Professional		$13.96	$22.54	$29.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $4.68 / $6.00	Professional	26	$2.75	$4.68	$6.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $17.64 / $23.62	Professional	TC	$11.26	$17.64	$23.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $21.50 / $29.43	Professional		$16.92	$21.50	$29.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.00 / $3.93 / $5.82	Professional	26	$3.00	$3.93	$5.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.01 / $17.51 / $24.85	Professional	TC	$14.01	$17.51	$24.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $27.91 / $44.15	Professional		$18.30	$27.91	$44.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.32 / $6.33 / $10.07	Professional	26	$3.32	$6.33	$10.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.63 / $21.70 / $35.18	Professional	TC	$14.63	$21.70	$35.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $21.46 / $30.22	Professional		$15.11	$21.46	$30.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $2.58 / $3.66 / $5.16	Professional	26	$2.58	$3.66	$5.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $12.53 / $17.67 / $25.06	Professional	TC	$12.53	$17.67	$25.06
United Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $31.84 / $46.93	Professional		$21.42	$31.84	$46.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.42 / $7.00 / $10.39	Professional	26	$4.42	$7.00	$10.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $25.27 / $39.33	Professional	TC	$17.39	$25.27	$39.33