Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $182.79 / $377.43	Facility	26	$85.00	$182.79	$377.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $425.00 / $1,172.48	Professional		$303.66	$425.00	$1,172.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $120.30 / $246.92	Professional	26	$85.00	$120.30	$246.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.94 / $340.00 / $677.36	Professional	TC	$205.94	$340.00	$677.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $182.33 / $182.33	Professional		$182.33	$182.33	$182.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.27 / $148.66 / $378.31	Professional	26	$134.27	$148.66	$378.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $474.19 / $966.78	Professional		$272.64	$474.19	$966.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.20 / $118.41 / $234.53	Professional	26	$81.20	$118.41	$234.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.04 / $326.24 / $763.17	Professional	TC	$192.04	$326.24	$763.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.16 / $97.16 / $97.16	Facility	26	$97.16	$97.16	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.81 / $663.89 / $1,248.57	Professional		$308.81	$663.89	$1,248.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.20 / $145.57 / $250.95	Professional	26	$86.20	$145.57	$250.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.35 / $497.33 / $972.40	Professional	TC	$228.35	$497.33	$972.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $541.94 / $1,682.25	Professional		$298.07	$541.94	$1,682.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.76 / $144.69 / $313.60	Professional	26	$90.76	$144.69	$313.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $207.31 / $376.92 / $1,638.99	Professional	TC	$207.31	$376.92	$1,638.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $283.85 / $501.08	Professional		$118.81	$283.85	$501.08
United Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $544.82 / $973.12	Professional		$309.38	$544.82	$973.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.08 / $118.43 / $220.01	Professional	26	$83.08	$118.43	$220.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.65 / $365.36 / $705.81	Professional	TC	$213.65	$365.36	$705.81