Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.81 / $219.09 / $436.72	Facility	26	$85.81	$219.09	$436.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.40 / $830.39 / $1,735.52	Professional		$507.40	$830.39	$1,735.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.44 / $741.47 / $1,492.44	Professional	TC	$304.44	$741.47	$1,492.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.23 / $1,028.83 / $2,151.12	Professional		$409.23	$1,028.83	$2,151.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.47 / $907.12 / $1,929.00	Professional	TC	$260.47	$907.12	$1,929.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.97 / $1,091.34 / $2,433.08	Professional		$496.97	$1,091.34	$2,433.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $399.14 / $944.03 / $2,206.88	Professional	TC	$399.14	$944.03	$2,206.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $1,047.96 / $1,822.54	Professional		$636.69	$1,047.96	$1,822.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.45 / $171.29 / $256.95	Professional	26	$107.45	$171.29	$256.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $636.69 / $935.63 / $1,627.18	Professional	TC	$636.69	$935.63	$1,627.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $1,225.74 / $1,751.12	Professional		$146.88	$1,225.74	$1,751.12
United Facility/Professional Professional Modifier Low / Median / High Price $540.46 / $946.66 / $1,947.55	Professional		$540.46	$946.66	$1,947.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $493.67 / $836.06 / $1,707.07	Professional	TC	$493.67	$836.06	$1,707.07