Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.68 / $179.90 / $414.55	Facility	26	$80.68	$179.90	$414.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $139.06 / $393.77	Professional		$112.61	$139.06	$393.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.25 / $45.98 / $125.76	Professional	TC	$38.25	$45.98	$125.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $192.39 / $391.98	Professional		$137.47	$192.39	$391.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.12 / $68.70 / $152.80	Professional	TC	$46.12	$68.70	$152.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $280.68 / $434.96	Professional		$150.31	$280.68	$434.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.83 / $97.71 / $162.78	Professional	TC	$49.83	$97.71	$162.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $247.50 / $550.71	Professional		$155.25	$247.50	$550.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $98.04 / $156.30 / $178.26	Professional	26	$98.04	$156.30	$178.26
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $57.21 / $91.20 / $550.71	Professional	TC	$57.21	$91.20	$550.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $146.93 / $261.11	Professional		$77.44	$146.93	$261.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $198.24 / $369.87	Professional		$144.10	$198.24	$369.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.52 / $72.12 / $139.93	Professional	TC	$49.52	$72.12	$139.93