Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $30.33 / $87.67	Facility	26	$17.23	$30.33	$87.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $99.97 / $225.00	Professional		$73.73	$99.97	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $20.84 / $55.76	Professional	26	$17.07	$20.84	$55.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $66.08 / $168.97	Professional	TC	$55.57	$66.08	$168.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $162.69 / $162.69	Professional		$162.69	$162.69	$162.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $31.70 / $35.00	Professional	26	$14.92	$31.70	$35.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $110.39 / $232.41	Professional		$75.62	$110.39	$232.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $26.06 / $46.53	Professional	26	$18.69	$26.06	$46.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.06 / $88.30 / $184.35	Professional	TC	$56.06	$88.30	$184.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.72 / $22.72 / $22.72	Facility	26	$22.72	$22.72	$22.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $130.47 / $243.31	Professional		$78.95	$130.47	$243.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $31.24 / $54.44	Professional	26	$20.28	$31.24	$54.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.45 / $100.13 / $190.63	Professional	TC	$61.45	$100.13	$190.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $167.21 / $455.00	Professional		$104.89	$167.21	$455.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $34.14 / $118.30	Professional	26	$21.42	$34.14	$118.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $83.46 / $133.05 / $336.70	Professional	TC	$83.46	$133.05	$336.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $100.18 / $164.20	Professional		$26.39	$100.18	$164.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $109.70 / $205.13	Professional		$81.55	$109.70	$205.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $25.75 / $46.68	Professional	26	$19.23	$25.75	$46.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.12 / $86.99 / $160.36	Professional	TC	$61.12	$86.99	$160.36