Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $169.46 / $375.95	Facility	26	$85.00	$169.46	$375.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.41 / $425.00 / $1,240.60	Professional		$298.41	$425.00	$1,240.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $129.09 / $322.00	Professional	26	$85.00	$129.09	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.20 / $340.00 / $790.60	Professional	TC	$208.20	$340.00	$790.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.44 / $119.67 / $379.79	Professional	26	$57.44	$119.67	$379.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.86 / $469.67 / $956.29	Professional		$267.86	$469.67	$956.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.06 / $111.68 / $228.67	Professional	26	$79.06	$111.68	$228.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.90 / $318.60 / $763.17	Professional	TC	$187.90	$318.60	$763.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.82 / $96.82 / $96.82	Facility	26	$96.82	$96.82	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.91 / $652.27 / $1,233.28	Professional		$314.91	$652.27	$1,233.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.95 / $143.41 / $240.00	Professional	26	$81.95	$143.41	$240.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.66 / $489.98 / $972.40	Professional	TC	$226.66	$489.98	$972.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.75 / $532.28 / $1,663.45	Professional		$292.75	$532.28	$1,663.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.41 / $144.13 / $314.77	Professional	26	$90.41	$144.13	$314.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $202.35 / $367.90 / $1,618.92	Professional	TC	$202.35	$367.90	$1,618.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $277.17 / $492.36	Professional		$118.35	$277.17	$492.36
United Facility/Professional Professional Modifier Low / Median / High Price $294.60 / $536.21 / $960.77	Professional		$294.60	$536.21	$960.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.45 / $112.79 / $202.89	Professional	26	$81.45	$112.79	$202.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.29 / $357.86 / $685.58	Professional	TC	$201.29	$357.86	$685.58