Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.73 / $12.73 / $18.52	Facility	26	$12.73	$12.73	$18.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $44.99 / $63.06	Professional		$38.72	$44.99	$63.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $12.28 / $18.12	Professional	26	$10.68	$12.28	$18.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.48 / $32.65 / $45.86	Professional	TC	$27.48	$32.65	$45.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $60.84 / $88.30	Professional		$44.73	$60.84	$88.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $15.77 / $22.89	Professional	26	$11.86	$15.77	$22.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $44.61 / $64.75	Professional	TC	$32.79	$44.61	$64.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $59.65 / $86.50	Professional		$45.51	$59.65	$86.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $16.73 / $24.01	Professional	26	$12.78	$16.73	$24.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $42.52 / $61.98	Professional	TC	$32.60	$42.52	$61.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $64.09 / $90.92	Professional		$45.46	$64.09	$90.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $16.29 / $22.94	Professional	26	$11.47	$16.29	$22.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.99 / $47.93 / $67.30	Professional	TC	$33.99	$47.93	$67.30
United Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $62.14 / $90.53	Professional		$44.05	$62.14	$90.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $17.85 / $25.91	Professional	26	$12.25	$17.85	$25.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.68 / $44.46 / $64.91	Professional	TC	$31.68	$44.46	$64.91