Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $91.20 / $181.97	Facility	26	$50.12	$91.20	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $223.87	Professional		$72.44	$107.15	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $67.61 / $144.54	Professional	TC	$45.71	$67.61	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $302.00	Professional		$102.33	$165.96	$302.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $114.82 / $218.78	Professional	TC	$53.70	$114.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $331.13	Professional		$89.13	$173.78	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $120.23 / $213.80	Professional	TC	$54.95	$120.23	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $524.81	Professional		$112.20	$144.54	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $141.25	Professional	26	$40.74	$54.95	$141.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $93.33 / $524.81	Professional	TC	$70.79	$93.33	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $181.97	Professional		$42.66	$95.50	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $275.42	Professional		$97.72	$162.18	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $97.72 / $181.97	Professional	TC	$56.23	$97.72	$181.97