Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.76 / $31.76 / $73.15	Facility	26	$31.76	$31.76	$73.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $50.14 / $82.43	Professional		$43.89	$50.14	$82.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $28.87 / $44.08	Professional	26	$23.63	$28.87	$44.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $22.73 / $31.42	Professional	TC	$18.25	$22.73	$31.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $78.50 / $112.54	Professional		$54.90	$78.50	$112.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.07 / $42.45 / $63.51	Professional	26	$30.07	$42.45	$63.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.75 / $36.82 / $55.48	Professional	TC	$25.75	$36.82	$55.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $41.78	Professional		$39.28	$39.28	$41.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $33.39	Professional	26	$25.29	$25.29	$33.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $18.18	Professional	TC	$13.99	$13.99	$18.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $71.06 / $101.13	Professional		$57.03	$71.06	$101.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $44.58 / $55.72	Professional	26	$36.22	$44.58	$55.72
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $25.94 / $35.36	Professional	TC	$20.81	$25.94	$35.36
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $89.51 / $139.85	Professional		$61.44	$89.51	$139.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $49.31 / $76.70	Professional	26	$33.54	$49.31	$76.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.96 / $40.50 / $60.19	Professional	TC	$27.96	$40.50	$60.19