Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.78 / $91.78 / $111.16	Facility	26	$91.78	$91.78	$111.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.95 / $408.64 / $753.52	Professional		$346.95	$408.64	$753.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $89.44 / $138.58	Professional	26	$79.09	$89.44	$138.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $333.19 / $614.92	Professional	TC	$284.67	$333.19	$614.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.65 / $577.28 / $855.70	Professional		$360.65	$577.28	$855.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.93 / $110.93 / $162.52	Professional	26	$78.93	$110.93	$162.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.92 / $467.96 / $693.66	Professional	TC	$285.92	$467.96	$693.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $586.71 / $814.58	Professional		$372.75	$586.71	$814.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.38 / $123.48 / $171.26	Professional	26	$93.38	$123.48	$171.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.89 / $475.79 / $645.80	Professional	TC	$270.89	$475.79	$645.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.05 / $656.37 / $933.00	Professional		$472.05	$656.37	$933.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.81 / $120.71 / $186.03	Professional	26	$86.81	$120.71	$186.03
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $385.22 / $535.64 / $744.77	Professional	TC	$385.22	$535.64	$744.77
United Facility/Professional Professional Modifier Low / Median / High Price $382.32 / $573.60 / $1,132.21	Professional		$382.32	$573.60	$1,132.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.85 / $125.80 / $224.65	Professional	26	$93.85	$125.80	$224.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.61 / $443.93 / $746.84	Professional	TC	$286.61	$443.93	$746.84