Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $162.50 / $374.47	Facility	26	$85.00	$162.50	$374.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.87 / $475.00 / $1,110.95	Professional		$372.87	$475.00	$1,110.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $128.78 / $245.16	Professional	26	$85.00	$128.78	$245.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.68 / $340.00 / $916.16	Professional	TC	$282.68	$340.00	$916.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $138.05 / $138.05 / $138.05	Professional	26	$138.05	$138.05	$138.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $528.70 / $1,003.30	Professional		$334.40	$528.70	$1,003.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.31 / $109.37 / $224.93	Professional	26	$78.31	$109.37	$224.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.86 / $394.88 / $780.42	Professional	TC	$253.86	$394.88	$780.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.27 / $691.00 / $1,209.35	Professional		$391.27	$691.00	$1,209.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $138.13 / $249.59	Professional	26	$82.72	$138.13	$249.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.38 / $515.64 / $941.11	Professional	TC	$300.38	$515.64	$941.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.23 / $583.84 / $1,574.01	Professional		$366.23	$583.84	$1,574.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.41 / $144.13 / $313.60	Professional	26	$90.41	$144.13	$313.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $275.83 / $439.72 / $1,394.18	Professional	TC	$275.83	$439.72	$1,394.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $351.05 / $615.94	Professional		$118.91	$351.05	$615.94
United Facility/Professional Professional Modifier Low / Median / High Price $378.09 / $566.96 / $958.78	Professional		$378.09	$566.96	$958.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.75 / $112.35 / $193.71	Professional	26	$81.75	$112.35	$193.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.50 / $437.86 / $769.46	Professional	TC	$294.50	$437.86	$769.46