Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $112.20	Professional		$47.86	$57.54	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.91 / $51.29	Professional	26	$16.98	$22.91	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.02 / $67.61	Professional	TC	$30.90	$38.02	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $128.82	Professional		$30.20	$48.98	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $11.48 / $47.86	Professional	26	$11.48	$11.48	$47.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $20.42 / $87.10	Professional	TC	$20.42	$20.42	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $190.55	Professional		$30.20	$50.12	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.45 / $64.57	Professional	26	$10.47	$14.45	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $109.65	Professional	TC	$19.05	$26.30	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $575.44	Professional		$57.54	$97.72	$575.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $36.31 / $204.17	Professional	26	$21.38	$36.31	$204.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $60.26 / $363.08	Professional	TC	$36.31	$60.26	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $117.49	Professional		$25.12	$60.26	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $151.36	Professional		$42.66	$74.13	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $27.54 / $56.23	Professional	26	$16.22	$27.54	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $46.77 / $97.72	Professional	TC	$25.70	$46.77	$97.72