Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.48 / $109.49 / $201.47	Facility	26	$109.48	$109.49	$201.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $348.98 / $404.01 / $705.46	Professional	TC	$348.98	$404.01	$705.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $311.76 / $494.15 / $877.88	Professional	TC	$311.76	$494.15	$877.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $374.86 / $526.38 / $1,014.03	Professional	TC	$374.86	$526.38	$1,014.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $124.16 / $146.72 / $2,354.50	Professional	26	$124.16	$146.72	$2,354.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $463.53 / $547.80 / $7,063.50	Professional	TC	$463.53	$547.80	$7,063.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $370.50 / $542.11 / $1,144.45	Professional	TC	$370.50	$542.11	$1,144.45