Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.89 / $36.89 / $36.89	Facility	26	$36.89	$36.89	$36.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.52 / $144.60	Professional		$64.31	$98.52	$144.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $34.39 / $52.98	Professional	26	$30.97	$34.39	$52.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $65.25 / $100.24	Professional	TC	$33.03	$65.25	$100.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $139.62 / $209.44	Professional		$69.15	$139.62	$209.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $44.94 / $65.52	Professional	26	$33.72	$44.94	$65.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.15 / $95.64 / $143.47	Professional	TC	$36.15	$95.64	$143.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $129.88 / $185.81	Professional		$68.59	$129.88	$185.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.19 / $49.27 / $68.09	Professional	26	$37.19	$49.27	$68.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.47 / $87.47 / $122.65	Professional	TC	$29.47	$87.47	$122.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $152.71 / $230.20	Professional		$107.43	$152.71	$230.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $48.53 / $74.79	Professional	26	$34.90	$48.53	$74.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $72.52 / $103.61 / $155.41	Professional	TC	$72.52	$103.61	$155.41
United Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $120.00 / $218.88	Professional		$73.44	$120.00	$218.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $49.50 / $84.15	Professional	26	$37.61	$49.50	$84.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.78 / $76.31 / $150.66	Professional	TC	$30.78	$76.31	$150.66