Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $147.91 / $331.13	Facility	26	$85.11	$147.91	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $977.24	Professional		$269.15	$426.58	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $117.49 / $199.53	Professional	26	$70.79	$117.49	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $338.84 / $562.34	Professional	TC	$199.53	$338.84	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $338.84	Professional		$173.78	$208.93	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $309.03	Professional	26	$56.23	$79.43	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $812.83	Professional		$302.00	$501.19	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $158.49	Professional	26	$70.79	$95.50	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $389.05 / $676.08	Professional	TC	$223.87	$389.05	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $954.99	Professional		$302.00	$562.34	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $107.15 / $194.98	Professional	26	$64.57	$107.15	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $426.58 / $758.58	Professional	TC	$234.42	$426.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $1,348.96	Professional		$263.03	$338.84	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $245.47	Professional	26	$67.61	$91.20	$245.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $257.04 / $1,348.96	Professional	TC	$194.98	$257.04	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $389.05 / $707.95	Professional		$102.33	$389.05	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $831.76	Professional		$281.84	$467.74	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $162.18	Professional	26	$66.07	$83.18	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $363.08 / $645.65	Professional	TC	$213.80	$363.08	$645.65