Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.67 / $43.67 / $82.92	Facility	26	$43.67	$43.67	$82.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $98.86 / $150.00	Professional		$82.72	$98.86	$150.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $53.95 / $77.25	Professional	TC	$40.58	$53.95	$77.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $106.04 / $203.58	Professional		$65.11	$106.04	$203.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $55.55 / $105.64	Professional	TC	$22.75	$55.55	$105.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $123.78 / $209.30	Professional		$81.65	$123.78	$209.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $62.95 / $110.85	Professional	TC	$35.36	$62.95	$110.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $111.97 / $294.17	Professional		$94.74	$111.97	$294.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.83 / $56.52 / $148.47	Professional	26	$47.83	$56.52	$148.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $44.78 / $55.45 / $145.69	Professional	TC	$44.78	$55.45	$145.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $76.40 / $152.24	Professional		$43.59	$76.40	$152.24
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $126.89 / $208.90	Professional		$85.47	$126.89	$208.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.02 / $59.92 / $111.23	Professional	TC	$34.02	$59.92	$111.23