Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $125.89 / $251.19	Facility	26	$54.95	$125.89	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $660.69	Professional		$169.82	$275.42	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $89.13 / $229.09	Professional	26	$52.48	$89.13	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $218.78 / $389.05	Professional	TC	$120.23	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $239.88	Professional		$120.23	$120.23	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $97.72	Professional	26	$43.65	$61.66	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $537.03	Professional		$218.78	$338.84	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $144.54	Professional	26	$52.48	$85.11	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $251.19 / $416.87	Professional	TC	$162.18	$251.19	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $660.69	Professional		$229.09	$389.05	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $162.18	Professional	26	$53.70	$93.33	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $275.42 / $524.81	Professional	TC	$173.78	$275.42	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $1,000.00	Professional		$181.97	$239.88	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $194.98	Professional	26	$52.48	$70.79	$194.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $169.82 / $776.25	Professional	TC	$128.82	$169.82	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $165.96 / $302.00	Professional		$54.95	$165.96	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $562.34	Professional		$204.17	$331.13	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $131.83	Professional	26	$53.70	$75.86	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $245.47 / $416.87	Professional	TC	$147.91	$245.47	$416.87