Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.64 / $23.64 / $28.47	Facility	26	$23.64	$23.64	$28.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $34.67 / $50.91	Professional		$30.29	$34.67	$50.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $23.19 / $34.90	Professional	26	$19.84	$23.19	$34.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.49 / $17.18 / $21.37	Professional	52	$14.49	$17.18	$21.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.63 / $12.10 / $18.57	Professional	TC	$9.63	$12.10	$18.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $46.66 / $66.70	Professional		$34.72	$46.66	$66.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.78 / $30.19 / $43.17	Professional	26	$22.78	$30.19	$43.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.20 / $16.47 / $23.54	Professional	TC	$12.20	$16.47	$23.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $46.13 / $66.05	Professional		$35.75	$46.13	$66.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.34 / $30.57 / $44.59	Professional	26	$23.34	$30.57	$44.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.87 / $15.37 / $21.71	Professional	TC	$11.87	$15.37	$21.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $48.43 / $68.31	Professional		$34.15	$48.43	$68.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $30.23 / $42.15	Professional	26	$21.29	$30.23	$42.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $12.87 / $18.02 / $25.48	Professional	TC	$12.87	$18.02	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $48.49 / $69.83	Professional		$33.95	$48.49	$69.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.68 / $32.84 / $46.81	Professional	26	$22.68	$32.84	$46.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.83 / $15.99 / $23.39	Professional	TC	$10.83	$15.99	$23.39