Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $115.46 / $257.05	Facility	26	$55.00	$115.46	$257.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $275.00 / $740.89	Professional		$181.32	$275.00	$740.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.78 / $66.00 / $180.54	Professional	26	$53.78	$66.00	$180.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.84 / $220.00 / $442.39	Professional	TC	$123.84	$220.00	$442.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $109.98 / $109.98	Professional		$109.98	$109.98	$109.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $72.70 / $94.42	Professional	26	$40.39	$72.70	$94.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $292.49 / $557.36	Professional		$168.42	$292.49	$557.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.15 / $76.15 / $155.29	Professional	26	$54.15	$76.15	$155.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.09 / $202.90 / $414.04	Professional	TC	$113.09	$202.90	$414.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $403.89 / $681.86	Professional		$212.78	$403.89	$681.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.59 / $94.22 / $173.64	Professional	26	$55.59	$94.22	$173.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.35 / $282.50 / $514.33	Professional	TC	$156.35	$282.50	$514.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $331.70 / $891.93	Professional		$182.44	$331.70	$891.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $97.29 / $245.67	Professional	26	$61.03	$97.29	$245.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $121.42 / $220.76 / $891.50	Professional	TC	$121.42	$220.76	$891.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $166.33 / $305.91	Professional		$79.70	$166.33	$305.91
United Facility/Professional Professional Modifier Low / Median / High Price $190.68 / $330.09 / $565.25	Professional		$190.68	$330.09	$565.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $77.95 / $136.85	Professional	26	$55.28	$77.95	$136.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.54 / $237.28 / $401.76	Professional	TC	$124.54	$237.28	$401.76