Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $131.83	Professional		$46.77	$60.26	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.91 / $47.86	Professional	26	$16.98	$22.91	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $37.15 / $89.13	Professional	TC	$28.18	$37.15	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $141.25	Professional		$26.92	$64.57	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $30.20 / $53.70	Professional	26	$10.47	$30.20	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $30.90 / $77.62	Professional	TC	$16.60	$30.90	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $223.87	Professional		$26.30	$47.86	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $23.99 / $66.07	Professional	26	$12.02	$23.99	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $28.18 / $158.49	Professional	TC	$14.13	$28.18	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $562.34	Professional		$75.86	$125.89	$562.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $199.53	Professional	26	$21.88	$36.31	$199.53
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $79.43 / $363.08	Professional	TC	$53.70	$79.43	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $154.88	Professional		$25.12	$77.62	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $173.78	Professional		$40.74	$66.07	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.30 / $57.54	Professional	26	$15.49	$26.30	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $134.90	Professional	TC	$24.55	$39.81	$134.90