Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.79 / $60.34 / $130.72	Facility	26	$24.79	$60.34	$130.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $85.90 / $185.14	Professional		$70.28	$85.90	$185.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.16 / $57.64 / $123.24	Professional	TC	$47.16	$57.64	$123.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $120.78 / $240.73	Professional		$82.64	$120.78	$240.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.90 / $79.63 / $166.64	Professional	TC	$52.90	$79.63	$166.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $149.97 / $266.75	Professional		$82.37	$149.97	$266.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.56 / $105.64 / $183.98	Professional	TC	$54.56	$105.64	$183.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $149.77 / $348.92	Professional		$93.95	$149.77	$348.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.29 / $46.70 / $110.62	Professional	26	$29.29	$46.70	$110.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $64.66 / $103.08 / $271.73	Professional	TC	$64.66	$103.08	$271.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $88.17 / $158.28	Professional		$38.40	$88.17	$158.28
United Facility/Professional Professional Modifier Low / Median / High Price $87.24 / $127.61 / $211.19	Professional		$87.24	$127.61	$211.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.68 / $91.01 / $156.76	Professional	TC	$56.68	$91.01	$156.76