Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.20 / $66.22 / $272.83	Facility	26	$66.20	$66.22	$272.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $439.25 / $749.38	Professional		$382.41	$439.25	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.71 / $60.75 / $87.49	Professional	26	$51.71	$60.75	$87.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.99 / $372.44 / $657.32	Professional	TC	$331.99	$372.44	$657.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.25 / $425.68 / $560.53	Professional		$359.25	$425.68	$560.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.11 / $75.03 / $110.98	Professional	26	$56.11	$75.03	$110.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.73 / $371.34 / $479.08	Professional	TC	$292.73	$371.34	$479.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.30 / $628.36 / $902.54	Professional		$441.30	$628.36	$902.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.56 / $90.95 / $133.44	Professional	26	$64.56	$90.95	$133.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $366.70 / $530.24 / $754.77	Professional	TC	$366.70	$530.24	$754.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.51 / $650.07 / $1,001.81	Professional		$467.51	$650.07	$1,001.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.94 / $80.56 / $124.16	Professional	26	$57.94	$80.56	$124.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $409.57 / $569.50 / $877.66	Professional	TC	$409.57	$569.50	$877.66
United Facility/Professional Professional Modifier Low / Median / High Price $448.79 / $625.46 / $973.42	Professional		$448.79	$625.46	$973.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.84 / $97.01 / $166.41	Professional	26	$63.84	$97.01	$166.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $384.72 / $528.84 / $825.31	Professional	TC	$384.72	$528.84	$825.31