Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $1,445.44	Professional		$295.12	$407.38	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $181.97 / $512.86	Professional	26	$141.25	$181.97	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $181.97 / $398.11	Professional	TC	$151.36	$181.97	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $724.44	Professional		$371.54	$371.54	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $177.83 / $302.00	Professional	26	$177.83	$177.83	$302.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $199.53 / $380.19	Professional	TC	$199.53	$199.53	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $575.44	Professional		$323.59	$323.59	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $275.42	Professional	26	$154.88	$154.88	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $302.00	Professional	TC	$173.78	$173.78	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	26	$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $407.38	Professional		$331.13	$371.54	$407.38
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $169.82 / $199.53	Professional	26	$162.18	$169.82	$199.53
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $199.53 / $208.93	Professional	TC	$169.82	$199.53	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $812.83	Professional		$208.93	$380.19	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $117.49 / $363.08	Professional	26	$102.33	$117.49	$363.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $229.09 / $380.19	Professional	TC	$97.72	$229.09	$380.19