Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $71.79 / $243.70	Facility	26	$55.00	$71.79	$243.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $588.49	Professional		$171.00	$275.00	$588.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $66.06 / $168.74	Professional	26	$51.30	$66.06	$168.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.94 / $220.00 / $450.94	Professional	TC	$149.94	$220.00	$450.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $258.95 / $258.95	Professional		$258.95	$258.95	$258.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.51 / $69.31 / $98.06	Professional	26	$44.51	$69.31	$98.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $298.66 / $582.76	Professional		$198.16	$298.66	$582.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $72.18 / $151.63	Professional	26	$51.59	$72.18	$151.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.63 / $215.69 / $440.76	Professional	TC	$145.63	$215.69	$440.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.33 / $397.00 / $652.90	Professional		$219.33	$397.00	$652.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.00 / $95.02 / $157.50	Professional	26	$53.00	$95.02	$157.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.37 / $287.14 / $500.11	Professional	TC	$164.37	$287.14	$500.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $392.98 / $847.31	Professional		$216.14	$392.98	$847.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $58.18 / $92.75 / $204.12	Professional	26	$58.18	$92.75	$204.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $157.94 / $287.18 / $765.74	Professional	TC	$157.94	$287.18	$765.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $209.56 / $353.68	Professional		$74.05	$209.56	$353.68
United Facility/Professional Professional Modifier Low / Median / High Price $206.50 / $323.20 / $566.28	Professional		$206.50	$323.20	$566.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.24 / $74.31 / $130.55	Professional	26	$53.24	$74.31	$130.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.61 / $242.66 / $416.22	Professional	TC	$152.61	$242.66	$416.22