Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.39 / $86.74 / $190.22	Facility	26	$37.39	$86.74	$190.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $189.38 / $589.38	Professional		$162.01	$189.38	$589.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.48 / $152.00 / $464.72	Professional	TC	$127.48	$152.00	$464.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $284.10 / $479.55	Professional		$191.64	$284.10	$479.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.41 / $220.10 / $392.75	Professional	TC	$153.41	$220.10	$392.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $391.90 / $616.05	Professional		$238.00	$391.90	$616.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.43 / $318.23 / $501.85	Professional	TC	$185.43	$318.23	$501.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $346.84 / $661.70	Professional		$217.57	$346.84	$661.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.69 / $72.84 / $129.38	Professional	26	$45.69	$72.84	$129.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $171.89 / $274.02 / $661.70	Professional	TC	$171.89	$274.02	$661.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $225.01 / $304.14	Professional		$58.16	$225.01	$304.14
United Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $301.87 / $557.20	Professional		$227.75	$301.87	$557.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $175.66 / $239.25 / $425.62	Professional	TC	$175.66	$239.25	$425.62