Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $407.38 / $616.60	Professional	TC	$338.84	$407.38	$616.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $489.78 / $724.44	Professional	TC	$331.13	$489.78	$724.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $537.03 / $1,023.29	Professional	TC	$389.05	$537.03	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $154.88 / $776.25	Professional	26	$125.89	$154.88	$776.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $616.60 / $2,818.38	Professional	TC	$501.19	$616.60	$2,818.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $501.19 / $977.24	Professional	TC	$363.08	$501.19	$977.24