Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $100.64 / $248.79	Professional		$76.87	$100.64	$248.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $37.75 / $97.16	Professional	26	$22.47	$37.75	$97.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.40 / $69.12 / $174.65	Professional	TC	$54.40	$69.12	$174.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $116.21 / $327.51	Professional		$105.65	$116.21	$327.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $38.06 / $94.20	Professional	26	$24.10	$38.06	$94.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.77 / $82.03 / $241.62	Professional	TC	$74.77	$82.03	$241.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $133.69 / $446.69	Professional		$53.70	$133.69	$446.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.43 / $32.07 / $122.15	Professional	26	$16.43	$32.07	$122.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.57 / $88.11 / $303.16	Professional	TC	$35.57	$88.11	$303.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $159.16 / $902.84	Professional		$95.09	$159.16	$902.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $46.81 / $263.98	Professional	26	$27.96	$46.81	$263.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $67.12 / $112.36 / $638.86	Professional	TC	$67.12	$112.36	$638.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $99.12 / $178.29	Professional		$34.79	$99.12	$178.29
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $129.21 / $329.42	Professional		$66.40	$129.21	$329.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $38.00 / $90.42	Professional	26	$21.43	$38.00	$90.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.54 / $87.34 / $237.21	Professional	TC	$47.54	$87.34	$237.21