Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.69 / $24.69 / $49.32	Facility	26	$24.69	$24.69	$49.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $147.91 / $234.86	Professional		$127.04	$147.91	$234.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.39 / $118.35 / $190.66	Professional	TC	$90.39	$118.35	$190.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $188.00 / $347.03	Professional		$93.56	$188.00	$347.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.04 / $149.57 / $294.54	Professional	TC	$51.04	$149.57	$294.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $169.09 / $372.80	Professional		$96.15	$169.09	$372.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.16 / $144.10 / $319.77	Professional	TC	$85.16	$144.10	$319.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.46 / $222.18 / $583.66	Professional		$179.46	$222.18	$583.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $33.72 / $142.60	Professional	26	$28.53	$33.72	$142.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $152.22 / $188.46 / $495.13	Professional	TC	$152.22	$188.46	$495.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $168.36 / $284.43	Professional		$27.93	$168.36	$284.43
United Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $170.74 / $379.96	Professional		$110.39	$170.74	$379.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.37 / $139.53 / $332.01	Professional	TC	$70.37	$139.53	$332.01