Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $194.98 / $436.52	Facility	26	$81.28	$194.98	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $323.59	Professional		$100.00	$151.36	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $52.48 / $125.89	Professional	TC	$34.67	$52.48	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $346.74	Professional		$144.54	$194.98	$346.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $74.13 / $144.54	Professional	TC	$48.98	$74.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $426.58	Professional		$138.04	$245.47	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $95.50 / $162.18	Professional	TC	$43.65	$95.50	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $524.81	Professional		$158.49	$190.55	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $117.49 / $194.98	Professional	26	$100.00	$117.49	$194.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $70.79 / $489.78	Professional	TC	$58.88	$70.79	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $229.09	Professional		$74.13	$128.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $371.54	Professional		$144.54	$186.21	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $74.13 / $141.25	Professional	TC	$48.98	$74.13	$141.25