Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $122.06 / $237.77	Facility	26	$55.00	$122.06	$237.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $275.00 / $689.84	Professional		$212.64	$275.00	$689.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $75.25 / $190.71	Professional	26	$55.00	$75.25	$190.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.59 / $220.00 / $499.13	Professional	TC	$150.59	$220.00	$499.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $144.25 / $158.38	Professional		$140.51	$144.25	$158.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $72.62 / $98.56	Professional	26	$42.57	$72.62	$98.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $318.44 / $580.32	Professional		$188.33	$318.44	$580.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.23 / $81.72 / $151.71	Professional	26	$51.23	$81.72	$151.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.05 / $233.65 / $441.62	Professional	TC	$131.05	$233.65	$441.62
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 $246.72 / $408.81 / $691.30	Professional		$246.72	$408.81	$691.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.95 / $100.01 / $167.17	Professional	26	$59.95	$100.01	$167.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.15 / $303.80 / $555.51	Professional	TC	$180.15	$303.80	$555.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $354.92 / $1,009.81	Professional		$195.21	$354.92	$1,009.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.76 / $98.97 / $242.26	Professional	26	$56.76	$98.97	$242.26
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $138.44 / $251.72 / $826.05	Professional	TC	$138.44	$251.72	$826.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $191.94 / $306.22	Professional		$77.37	$191.94	$306.22
United Facility/Professional Professional Modifier Low / Median / High Price $215.65 / $360.46 / $582.59	Professional		$215.65	$360.46	$582.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $83.16 / $140.61	Professional	26	$56.37	$83.16	$140.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.28 / $267.38 / $447.94	Professional	TC	$155.28	$267.38	$447.94