Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $78.72 / $172.38	Facility	26	$33.86	$78.72	$172.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $93.25 / $320.45	Professional		$80.56	$93.25	$320.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.27 / $58.77 / $222.36	Professional	TC	$49.27	$58.77	$222.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $151.05 / $310.72	Professional		$94.30	$151.05	$310.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.25 / $94.51 / $217.91	Professional	TC	$53.25	$94.51	$217.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $191.61 / $360.21	Professional		$96.37	$191.61	$360.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.59 / $128.28 / $236.27	Professional	TC	$56.59	$128.28	$236.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $209.56 / $530.86	Professional		$115.26	$209.56	$530.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.49 / $67.73 / $145.09	Professional	26	$42.49	$67.73	$145.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $72.77 / $132.30 / $530.86	Professional	TC	$72.77	$132.30	$530.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $99.22 / $186.16	Professional		$52.42	$99.22	$186.16
United Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $160.22 / $285.47	Professional		$97.00	$160.22	$285.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.52 / $96.38 / $183.76	Professional	TC	$56.52	$96.38	$183.76