Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.84 / $52.84 / $95.56	Facility	26	$52.84	$52.84	$95.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $391.03 / $688.56	Professional		$298.66	$391.03	$688.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.84 / $332.99 / $561.72	Professional	TC	$249.84	$332.99	$561.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $445.88 / $840.49	Professional		$247.73	$445.88	$840.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.71 / $378.55 / $728.08	Professional	TC	$174.71	$378.55	$728.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $454.28 / $908.79	Professional		$238.55	$454.28	$908.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.66 / $400.68 / $835.69	Professional	TC	$193.66	$400.68	$835.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $484.66 / $1,379.38	Professional		$310.14	$484.66	$1,379.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $69.95 / $183.77	Professional	26	$59.19	$69.95	$183.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $310.14 / $420.10 / $1,195.59	Professional	TC	$310.14	$420.10	$1,195.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $410.17 / $705.71	Professional		$58.86	$410.17	$705.71
United Facility/Professional Professional Modifier Low / Median / High Price $293.69 / $420.24 / $899.28	Professional		$293.69	$420.24	$899.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.24 / $367.20 / $810.80	Professional	TC	$225.24	$367.20	$810.80