Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $149.18 / $451.72	Facility	26	$85.00	$149.18	$451.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $475.00 / $1,320.50	Professional		$250.87	$475.00	$1,320.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $145.65 / $322.00	Professional	26	$85.00	$145.65	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $1,063.38	Professional	TC	$335.00	$368.50	$1,063.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.98 / $498.06 / $577.04	Professional		$289.98	$498.06	$577.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.85 / $161.33 / $183.95	Professional	26	$85.85	$161.33	$183.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.11 / $588.40 / $1,397.48	Professional		$383.11	$588.40	$1,397.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.75 / $128.47 / $271.33	Professional	26	$91.75	$128.47	$271.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.50 / $463.92 / $1,222.09	Professional	TC	$285.50	$463.92	$1,222.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.87 / $116.87 / $116.87	Facility	26	$116.87	$116.87	$116.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.76 / $926.50 / $1,840.84	Professional		$462.76	$926.50	$1,840.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.23 / $162.34 / $285.43	Professional	26	$98.23	$162.34	$285.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.42 / $727.93 / $1,411.85	Professional	TC	$342.42	$727.93	$1,411.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.98 / $675.00 / $2,781.45	Professional		$415.98	$675.00	$2,781.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.99 / $167.45 / $378.81	Professional	26	$108.99	$167.45	$378.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $306.99 / $558.16 / $2,781.45	Professional	TC	$306.99	$558.16	$2,781.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $397.18 / $699.60	Professional		$143.22	$397.18	$699.60
United Facility/Professional Professional Modifier Low / Median / High Price $437.97 / $733.26 / $1,368.91	Professional		$437.97	$733.26	$1,368.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.98 / $136.16 / $244.58	Professional	26	$97.98	$136.16	$244.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $331.88 / $579.42 / $1,082.81	Professional	TC	$331.88	$579.42	$1,082.81