Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.30 / $15.30 / $18.87	Facility	26	$15.30	$15.30	$18.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $39.72 / $65.01	Professional		$34.61	$39.72	$65.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $15.07 / $32.72	Professional	26	$12.53	$15.07	$32.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $25.65 / $38.29	Professional	TC	$21.52	$25.65	$38.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $53.86 / $77.18	Professional		$39.79	$53.86	$77.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $19.21 / $27.47	Professional	26	$14.51	$19.21	$27.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $34.28 / $49.05	Professional	TC	$24.54	$34.28	$49.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $51.95 / $79.23	Professional		$39.63	$51.95	$79.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $19.75 / $29.72	Professional	26	$14.78	$19.75	$29.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.93 / $32.11 / $49.45	Professional	TC	$23.93	$32.11	$49.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $55.74 / $78.50	Professional		$39.25	$55.74	$78.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $19.57 / $27.56	Professional	26	$13.78	$19.57	$27.56
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.47 / $35.90 / $50.94	Professional	TC	$25.47	$35.90	$50.94
United Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $53.77 / $77.90	Professional		$37.97	$53.77	$77.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $20.80 / $30.63	Professional	26	$14.94	$20.80	$30.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $33.32 / $49.40	Professional	TC	$24.26	$33.32	$49.40