Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $60.04 / $85.95	Professional		$47.46	$60.04	$85.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $22.79 / $46.00	Professional	26	$16.91	$22.79	$46.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $37.49 / $51.71	Professional	TC	$27.21	$37.49	$51.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $56.81 / $162.33	Professional		$26.93	$56.81	$162.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $25.40 / $57.40	Professional	26	$10.51	$25.40	$57.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $22.00 / $89.09	Professional	TC	$16.42	$22.00	$89.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $50.40 / $205.24	Professional		$26.41	$50.40	$205.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $24.16 / $65.16	Professional	26	$11.97	$24.16	$65.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $28.42 / $156.37	Professional	TC	$14.20	$28.42	$156.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $121.00 / $560.05	Professional		$73.30	$121.00	$560.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $36.10 / $198.53	Professional	26	$21.56	$36.10	$198.53
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $51.74 / $71.40 / $361.45	Professional	TC	$51.74	$71.40	$361.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $76.67 / $138.63	Professional		$25.16	$76.67	$138.63
United Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $66.45 / $166.29	Professional		$40.31	$66.45	$166.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.29 / $26.33 / $55.08	Professional	26	$15.29	$26.33	$55.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $40.24 / $117.37	Professional	TC	$23.51	$40.24	$117.37