Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.69 / $60.69 / $60.69	Facility	26	$60.69	$60.69	$60.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $399.29 / $700.10	Professional		$316.31	$399.29	$700.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $343.15 / $588.65	Professional	TC	$264.98	$343.15	$588.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.01 / $554.24 / $831.36	Professional		$304.01	$554.24	$831.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.88 / $486.35 / $723.76	Professional	TC	$262.88	$486.35	$723.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.29 / $546.14 / $778.92	Professional		$301.29	$546.14	$778.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.76 / $470.93 / $670.34	Professional	TC	$238.76	$470.93	$670.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.14 / $618.95 / $953.87	Professional		$445.14	$618.95	$953.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.41 / $79.83 / $123.03	Professional	26	$57.41	$79.83	$123.03
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $387.73 / $539.13 / $830.86	Professional	TC	$387.73	$539.13	$830.86
United Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $521.22 / $912.52	Professional		$326.45	$521.22	$912.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.80 / $454.06 / $851.70	Professional	TC	$259.80	$454.06	$851.70