Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.86 / $46.08 / $101.06	Facility	26	$19.86	$46.08	$101.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $120.17 / $254.88	Professional		$102.42	$120.17	$254.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.07 / $100.31 / $177.47	Professional	TC	$84.07	$100.31	$177.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $158.41 / $326.27	Professional		$103.51	$158.41	$326.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.64 / $128.33 / $268.87	Professional	TC	$81.64	$128.33	$268.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $179.85 / $341.33	Professional		$102.68	$179.85	$341.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.34 / $142.36 / $275.17	Professional	TC	$81.34	$142.36	$275.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $236.21 / $495.25	Professional		$148.16	$236.21	$495.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.62 / $39.25 / $86.06	Professional	26	$24.62	$39.25	$86.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $123.54 / $196.95 / $412.98	Professional	TC	$123.54	$196.95	$412.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $139.02 / $236.05	Professional		$24.06	$139.02	$236.05
United Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $152.75 / $282.63	Professional		$110.29	$152.75	$282.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.63 / $118.83 / $235.42	Professional	TC	$85.63	$118.83	$235.42