Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.11 / $15.80	Facility	26	$13.10	$13.11	$15.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $41.15 / $61.55	Professional		$35.31	$41.15	$61.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $12.36 / $18.44	Professional	26	$10.78	$12.36	$18.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $29.92 / $45.86	Professional	TC	$24.81	$29.92	$45.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $55.40 / $79.80	Professional		$41.34	$55.40	$79.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $16.22 / $23.54	Professional	26	$12.20	$16.22	$23.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $39.04 / $56.25	Professional	TC	$29.14	$39.04	$56.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $57.44 / $80.81	Professional		$43.49	$57.44	$80.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.93 / $24.72	Professional	26	$12.88	$16.93	$24.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.75 / $40.72 / $55.96	Professional	TC	$30.75	$40.72	$55.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $63.14 / $89.56	Professional		$44.78	$63.14	$89.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $16.77 / $23.62	Professional	26	$11.81	$16.77	$23.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $46.49 / $65.45	Professional	TC	$32.97	$46.49	$65.45
United Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $60.11 / $83.00	Professional		$42.06	$60.11	$83.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $18.00 / $25.91	Professional	26	$12.81	$18.00	$25.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $41.69 / $59.24	Professional	TC	$28.51	$41.69	$59.24