Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.12 / $127.12 / $127.12	Facility	26	$127.12	$127.12	$127.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $346.89 / $411.52 / $611.38	Professional	TC	$346.89	$411.52	$611.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $347.62 / $582.90 / $864.03	Professional	TC	$347.62	$582.90	$864.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $431.29 / $584.80 / $810.46	Professional	TC	$431.29	$584.80	$810.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $120.26 / $167.21 / $257.69	Professional	26	$120.26	$167.21	$257.69
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $466.69 / $648.92 / $1,000.06	Professional	TC	$466.69	$648.92	$1,000.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $411.62 / $564.72 / $1,031.25	Professional	TC	$411.62	$564.72	$1,031.25