Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $51.43 / $83.39	Professional		$40.54	$51.43	$83.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $9.05 / $14.67	Professional	26	$7.01	$9.05	$14.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.06 / $42.67 / $68.70	Professional	TC	$33.06	$42.67	$68.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $60.78 / $107.70	Professional		$37.32	$60.78	$107.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.36 / $17.60	Professional	26	$7.24	$9.36	$17.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.56 / $51.40 / $91.09	Professional	TC	$31.56	$51.40	$91.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $61.00 / $134.19	Professional		$38.54	$61.00	$134.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $11.23 / $22.48	Professional	26	$7.11	$11.23	$22.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $50.81 / $110.75	Professional	TC	$32.18	$50.81	$110.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $68.47 / $356.26	Professional		$39.00	$68.47	$356.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.82 / $58.15	Professional	26	$9.27	$11.82	$58.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $57.49 / $298.04	Professional	TC	$29.00	$57.49	$298.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $61.91 / $94.00	Professional		$11.82	$61.91	$94.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $53.08 / $94.07	Professional		$38.93	$53.08	$94.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $9.90 / $15.63	Professional	26	$7.50	$9.90	$15.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.60 / $43.45 / $78.20	Professional	TC	$31.60	$43.45	$78.20