Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $99.05 / $238.90	Professional		$77.93	$99.05	$238.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.29 / $17.20 / $46.57	Professional	26	$15.29	$17.20	$46.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.22 / $82.46 / $191.67	Professional	TC	$64.22	$82.46	$191.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $125.04 / $272.77	Professional		$77.78	$125.04	$272.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.27 / $25.09 / $47.55	Professional	26	$17.27	$25.09	$47.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.72 / $102.53 / $224.59	Professional	TC	$54.72	$102.53	$224.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $123.82 / $276.12	Professional		$70.06	$123.82	$276.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $29.58 / $51.34	Professional	26	$17.62	$29.58	$51.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $95.71 / $234.96	Professional	TC	$50.59	$95.71	$234.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.89 / $159.38 / $390.72	Professional		$116.89	$159.38	$390.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $31.88 / $67.64	Professional	26	$20.00	$31.88	$67.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $96.89 / $144.07 / $323.89	Professional	TC	$96.89	$144.07	$323.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $116.22 / $205.31	Professional		$26.19	$116.22	$205.31
United Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $120.20 / $234.95	Professional		$73.87	$120.20	$234.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $23.71 / $41.50	Professional	26	$17.54	$23.71	$41.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.36 / $97.06 / $193.45	Professional	TC	$54.36	$97.06	$193.45