Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $127.50 / $282.33	Facility	26	$85.00	$127.50	$282.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.99 / $425.00 / $1,075.59	Professional		$276.99	$425.00	$1,075.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.89 / $118.34 / $200.20	Professional	26	$77.89	$118.34	$200.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.82 / $340.00 / $813.14	Professional	TC	$198.82	$340.00	$813.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $198.16 / $205.91	Professional		$149.01	$198.16	$205.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $89.34 / $271.74	Professional	26	$44.67	$89.34	$271.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $168.72 / $168.72 / $168.72	Professional	TC	$168.72	$168.72	$168.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.74 / $423.41 / $806.42	Professional		$224.74	$423.41	$806.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $84.05 / $172.66	Professional	26	$59.78	$84.05	$172.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $164.51 / $285.39 / $642.46	Professional	TC	$164.51	$285.39	$642.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $568.70 / $996.38	Professional		$264.45	$568.70	$996.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.68 / $104.00 / $184.69	Professional	26	$61.68	$104.00	$184.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.81 / $432.83 / $848.15	Professional	TC	$197.81	$432.83	$848.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.22 / $444.04 / $1,440.97	Professional		$244.22	$444.04	$1,440.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.47 / $107.57 / $236.09	Professional	26	$67.47	$107.57	$236.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $176.76 / $321.38 / $1,307.91	Professional	TC	$176.76	$321.38	$1,307.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $248.09 / $413.89	Professional		$91.34	$248.09	$413.89
United Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $467.20 / $825.68	Professional		$256.39	$467.20	$825.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.23 / $85.67 / $151.41	Professional	26	$61.23	$85.67	$151.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.74 / $340.19 / $606.70	Professional	TC	$179.74	$340.19	$606.70