Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $32.36 / $54.95	Facility	26	$12.88	$32.36	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $81.28	Professional		$42.66	$51.29	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $25.70	Professional	26	$12.88	$15.14	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $34.67 / $56.23	Professional	TC	$30.20	$34.67	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $128.82	Professional		$48.98	$95.50	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $28.18 / $38.90	Professional	26	$15.85	$28.18	$38.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $66.07 / $91.20	Professional	TC	$33.88	$66.07	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $134.90	Professional		$53.70	$79.43	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.44 / $43.65	Professional	26	$16.60	$23.44	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $54.95 / $93.33	Professional	TC	$36.31	$54.95	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $245.47	Professional		$36.31	$52.48	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.38 / $69.18	Professional	26	$12.02	$17.38	$69.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $34.67 / $177.83	Professional	TC	$23.99	$34.67	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $74.13 / $128.82	Professional		$27.54	$74.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $107.15	Professional		$47.86	$64.57	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.05 / $32.36	Professional	26	$14.13	$19.05	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $44.67 / $75.86	Professional	TC	$33.11	$44.67	$75.86