Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $134.41 / $312.05	Facility	26	$85.00	$134.41	$312.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.27 / $449.16 / $970.64	Professional		$324.27	$449.16	$970.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $106.02 / $202.40	Professional	26	$85.00	$106.02	$202.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.70 / $340.00 / $705.64	Professional	TC	$218.70	$340.00	$705.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.53 / $269.02 / $339.33	Professional		$197.53	$269.02	$339.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.34 / $114.34 / $114.34	Professional	26	$114.34	$114.34	$114.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.30 / $451.74 / $853.43	Professional		$261.30	$451.74	$853.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.04 / $92.14 / $192.63	Professional	26	$66.04	$92.14	$192.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.74 / $318.85 / $679.15	Professional	TC	$199.74	$318.85	$679.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $601.01 / $1,018.94	Professional		$312.73	$601.01	$1,018.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $120.22 / $203.40	Professional	26	$67.73	$120.22	$203.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.89 / $449.86 / $823.65	Professional	TC	$240.89	$449.86	$823.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.36 / $515.20 / $1,348.82	Professional		$283.36	$515.20	$1,348.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.92 / $117.84 / $258.27	Professional	26	$73.92	$117.84	$258.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $209.44 / $380.80 / $1,348.82	Professional	TC	$209.44	$380.80	$1,348.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $293.89 / $766.50	Professional		$94.75	$293.89	$766.50
United Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $479.83 / $871.45	Professional		$303.86	$479.83	$871.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.52 / $94.65 / $169.34	Professional	26	$67.52	$94.65	$169.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.29 / $365.99 / $647.08	Professional	TC	$213.29	$365.99	$647.08