Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.67 / $108.32 / $252.60	Facility	26	$83.67	$108.32	$252.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.65 / $425.00 / $879.42	Professional		$250.65	$425.00	$879.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $85.00 / $165.58	Professional	26	$62.50	$85.00	$165.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.62 / $340.00 / $807.61	Professional	TC	$190.62	$340.00	$807.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $181.27 / $181.27	Professional		$181.27	$181.27	$181.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.94 / $41.94 / $41.94	Professional	26	$41.94	$41.94	$41.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.76 / $444.21 / $808.66	Professional		$224.76	$444.21	$808.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $73.62 / $151.74	Professional	26	$52.78	$73.62	$151.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.64 / $322.67 / $677.40	Professional	TC	$170.64	$322.67	$677.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $584.44 / $1,053.48	Professional		$282.39	$584.44	$1,053.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $95.60 / $171.82	Professional	26	$55.20	$95.60	$171.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.91 / $463.40 / $935.91	Professional	TC	$224.91	$463.40	$935.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.33 / $447.88 / $1,550.07	Professional		$246.33	$447.88	$1,550.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.96 / $92.81 / $210.29	Professional	26	$59.96	$92.81	$210.29
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $186.38 / $338.88 / $1,390.77	Professional	TC	$186.38	$338.88	$1,390.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $247.93 / $414.29	Professional		$78.29	$247.93	$414.29
United Facility/Professional Professional Modifier Low / Median / High Price $246.78 / $466.58 / $808.42	Professional		$246.78	$466.58	$808.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.28 / $75.97 / $130.66	Professional	26	$54.28	$75.97	$130.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.69 / $365.54 / $668.64	Professional	TC	$185.69	$365.54	$668.64