Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $125.89 / $190.55	Facility	26	$107.15	$125.89	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $741.31	Professional		$338.84	$407.38	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $123.03 / $199.53	Professional	26	$97.72	$123.03	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $281.84 / $478.63	Professional	TC	$229.09	$281.84	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $676.08	Professional		$323.59	$478.63	$676.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $162.18 / $239.88	Professional	26	$107.15	$162.18	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $302.00 / $457.09	Professional	TC	$229.09	$302.00	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $870.96	Professional		$371.54	$562.34	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $177.83 / $269.15	Professional	26	$128.82	$177.83	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $380.19 / $602.56	Professional	TC	$234.42	$380.19	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $1,288.25	Professional		$338.84	$436.52	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $141.25 / $478.63	Professional	26	$107.15	$141.25	$478.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $295.12 / $812.83	Professional	TC	$229.09	$295.12	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $831.76	Professional		$316.23	$426.58	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $151.36 / $257.04	Professional	26	$109.65	$151.36	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $288.40 / $575.44	Professional	TC	$208.93	$288.40	$575.44