Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $204.39 / $472.52	Facility	26	$85.00	$204.39	$472.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $522.50 / $1,577.02	Professional		$425.00	$522.50	$1,577.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $310.86	Professional	26	$85.00	$140.00	$310.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $1,032.67	Professional	TC	$335.00	$368.50	$1,032.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $372.59 / $416.61	Professional		$352.94	$372.59	$416.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.82 / $151.46 / $198.58	Professional	26	$85.82	$151.46	$198.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.30 / $699.45 / $1,554.12	Professional		$460.30	$699.45	$1,554.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.68 / $131.32 / $283.83	Professional	26	$93.68	$131.32	$283.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $358.17 / $559.58 / $1,331.62	Professional	TC	$358.17	$559.58	$1,331.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.33 / $122.33 / $122.33	Facility	26	$122.33	$122.33	$122.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.54 / $1,067.49 / $1,992.12	Professional		$536.54	$1,067.49	$1,992.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.75 / $171.99 / $298.72	Professional	26	$103.75	$171.99	$298.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $423.72 / $875.07 / $1,661.77	Professional	TC	$423.72	$875.07	$1,661.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.25 / $808.66 / $2,779.49	Professional		$507.25	$808.66	$2,779.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $114.37 / $175.40 / $397.23	Professional	26	$114.37	$175.40	$397.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $392.89 / $714.34 / $2,779.49	Professional	TC	$392.89	$714.34	$2,779.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $550.09 / $853.11	Professional		$156.99	$550.09	$853.11
United Facility/Professional Professional Modifier Low / Median / High Price $525.30 / $910.98 / $1,581.38	Professional		$525.30	$910.98	$1,581.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.61 / $145.44 / $284.68	Professional	26	$102.61	$145.44	$284.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $430.63 / $749.41 / $1,289.38	Professional	TC	$430.63	$749.41	$1,289.38