Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $103.97 / $514.12	Professional		$67.37	$103.97	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $20.07 / $45.22	Professional	26	$14.36	$20.07	$45.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.01 / $64.55 / $96.39	Professional	TC	$53.01	$64.55	$96.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $65.15 / $203.61	Professional		$34.85	$65.15	$203.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $21.09 / $48.56	Professional	26	$9.50	$21.09	$48.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.34 / $31.67 / $135.03	Professional	TC	$25.34	$31.67	$135.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $49.77 / $225.90	Professional		$39.69	$49.77	$225.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $19.80 / $54.05	Professional	26	$10.52	$19.80	$54.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.02 / $37.44 / $174.79	Professional	TC	$28.02	$37.44	$174.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $125.12 / $791.15	Professional		$74.75	$125.12	$791.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $28.31 / $168.62	Professional	26	$16.91	$28.31	$168.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $57.83 / $96.81 / $622.54	Professional	TC	$57.83	$96.81	$622.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $78.34 / $141.09	Professional		$19.73	$78.34	$141.09
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $92.59 / $196.72	Professional		$54.40	$92.59	$196.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $23.10 / $47.19	Professional	26	$13.43	$23.10	$47.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.34 / $75.28 / $150.56	Professional	TC	$41.34	$75.28	$150.56