Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.15 / $131.16 / $155.84	Facility	26	$86.15	$131.16	$155.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $348.06 / $748.38	Professional		$295.12	$348.06	$748.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.31 / $99.34 / $173.11	Professional	26	$83.31	$99.34	$173.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $245.21 / $412.14	Professional	TC	$207.98	$245.21	$412.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.63 / $413.05 / $837.50	Professional		$276.63	$413.05	$837.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.77 / $127.93 / $233.46	Professional	26	$81.77	$127.93	$233.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.85 / $298.56 / $595.85	Professional	TC	$181.85	$298.56	$595.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.01 / $476.39 / $791.91	Professional		$296.01	$476.39	$791.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.94 / $140.99 / $236.93	Professional	26	$97.94	$140.99	$236.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.78 / $335.60 / $531.79	Professional	TC	$200.78	$335.60	$531.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $350.01 / $693.52	Professional		$269.24	$350.01	$693.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.47 / $105.91 / $183.55	Professional	26	$81.47	$105.91	$183.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $187.78 / $244.11 / $693.52	Professional	TC	$187.78	$244.11	$693.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $276.81 / $446.94	Professional		$135.24	$276.81	$446.94
United Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $459.77 / $750.52	Professional		$296.54	$459.77	$750.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.64 / $127.63 / $213.57	Professional	26	$87.64	$127.63	$213.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.47 / $317.98 / $526.36	Professional	TC	$195.47	$317.98	$526.36