Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $58.13 / $81.72	Professional		$48.64	$58.13	$81.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $23.42 / $63.87	Professional	26	$17.37	$23.42	$63.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.26 / $35.97 / $52.52	Professional	TC	$31.26	$35.97	$52.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $32.11 / $149.88	Professional		$30.26	$32.11	$149.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $11.52 / $54.49	Professional	26	$11.52	$11.52	$54.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $20.59 / $96.38	Professional	TC	$20.59	$20.59	$96.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $63.14 / $190.89	Professional		$30.30	$63.14	$190.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $18.42 / $64.66	Professional	26	$10.55	$18.42	$64.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $26.99 / $109.69	Professional	TC	$19.16	$26.99	$109.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $95.86 / $571.22	Professional		$57.27	$95.86	$571.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.24 / $35.56 / $204.08	Professional	26	$21.24	$35.56	$204.08
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.03 / $60.31 / $367.15	Professional	TC	$36.03	$60.31	$367.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $59.66 / $109.71	Professional		$26.51	$59.66	$109.71
United Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $74.95 / $149.91	Professional		$41.96	$74.95	$149.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $27.77 / $55.58	Professional	26	$16.23	$27.77	$55.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $47.19 / $94.38	Professional	TC	$25.96	$47.19	$94.38