Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $136.86 / $343.24	Facility	26	$55.00	$136.86	$343.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $275.00 / $742.29	Professional		$225.85	$275.00	$742.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $83.00 / $193.45	Professional	26	$55.00	$83.00	$193.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $220.00 / $529.26	Professional	TC	$162.34	$220.00	$529.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $177.40 / $288.22	Professional		$146.30	$177.40	$288.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $71.38 / $140.69	Professional	26	$63.83	$71.38	$140.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $131.36 / $131.36 / $131.36	Professional	TC	$131.36	$131.36	$131.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.12 / $336.89 / $679.21	Professional		$218.12	$336.89	$679.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.29 / $93.50 / $210.22	Professional	26	$66.29	$93.50	$210.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.33 / $239.10 / $496.50	Professional	TC	$145.33	$239.10	$496.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $87.25	Facility	26	$87.25	$87.25	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.23 / $456.11 / $748.97	Professional		$245.23	$456.11	$748.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $117.05 / $207.61	Professional	26	$69.33	$117.05	$207.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.96 / $320.45 / $593.94	Professional	TC	$164.96	$320.45	$593.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $434.50 / $1,059.97	Professional		$238.98	$434.50	$1,059.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.03 / $129.16 / $270.82	Professional	26	$81.03	$129.16	$270.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $157.94 / $287.18 / $924.21	Professional	TC	$157.94	$287.18	$924.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $215.38 / $391.05	Professional		$107.73	$215.38	$391.05
United Facility/Professional Professional Modifier Low / Median / High Price $236.23 / $377.11 / $666.63	Professional		$236.23	$377.11	$666.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.94 / $92.90 / $180.98	Professional	26	$70.94	$92.90	$180.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.94 / $278.20 / $455.92	Professional	TC	$157.94	$278.20	$455.92