Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $100.00 / $199.53	Facility	26	$57.54	$100.00	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $512.86	Professional		$151.36	$204.17	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $407.38	Professional	TC	$123.03	$158.49	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $426.58	Professional		$213.80	$295.12	$426.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $234.42 / $346.74	Professional	TC	$173.78	$234.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $616.60	Professional		$239.88	$371.54	$616.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $309.03 / $501.19	Professional	TC	$186.21	$309.03	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $660.69	Professional		$229.09	$363.08	$660.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $75.86 / $128.82	Professional	26	$46.77	$75.86	$128.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $660.69	Professional	TC	$181.97	$288.40	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $302.00	Professional		$60.26	$223.87	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $524.81	Professional		$208.93	$275.42	$524.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $223.87 / $426.58	Professional	TC	$165.96	$223.87	$426.58