Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $106.15 / $237.77	Facility	26	$55.00	$106.15	$237.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $585.75	Professional		$171.00	$275.00	$585.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.50 / $70.20 / $176.02	Professional	26	$51.50	$70.20	$176.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.26 / $220.00 / $443.10	Professional	TC	$117.26	$220.00	$443.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $98.57 / $98.57	Professional		$98.57	$98.57	$98.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.99 / $75.12 / $95.80	Professional	26	$24.99	$75.12	$95.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $250.00 / $465.32	Professional		$146.29	$250.00	$465.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.06 / $72.42 / $147.94	Professional	26	$51.06	$72.42	$147.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.06 / $161.99 / $338.96	Professional	TC	$95.06	$161.99	$338.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $332.21 / $564.29	Professional		$160.97	$332.21	$564.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.23 / $87.16 / $157.36	Professional	26	$52.23	$87.16	$157.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.39 / $226.26 / $438.82	Professional	TC	$106.39	$226.26	$438.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $292.33 / $738.14	Professional		$160.79	$292.33	$738.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.76 / $90.49 / $198.01	Professional	26	$56.76	$90.49	$198.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $104.04 / $189.16 / $736.55	Professional	TC	$104.04	$189.16	$736.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $142.81 / $263.11	Professional		$74.05	$142.81	$263.11
United Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $263.49 / $470.48	Professional		$158.68	$263.49	$470.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $72.48 / $127.36	Professional	26	$51.94	$72.48	$127.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.78 / $180.44 / $307.83	Professional	TC	$100.78	$180.44	$307.83