Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $60.26 / $131.83	Facility	26	$24.55	$60.26	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $223.87	Professional		$87.10	$117.49	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $60.26	Professional	26	$20.89	$26.92	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $91.20 / $165.96	Professional	TC	$66.07	$91.20	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $181.97	Professional		$162.18	$162.18	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $52.48	Professional	26	$23.44	$30.20	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $245.47	Professional		$95.50	$134.90	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $36.31 / $63.10	Professional	26	$26.30	$36.31	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $186.21	Professional	TC	$67.61	$95.50	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $295.12	Professional		$95.50	$154.88	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $39.81 / $70.79	Professional	26	$24.55	$39.81	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $114.82 / $234.42	Professional	TC	$74.13	$114.82	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $371.54	Professional		$134.90	$177.83	$371.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.90 / $100.00	Professional	26	$28.84	$38.90	$100.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $138.04 / $295.12	Professional	TC	$107.15	$138.04	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $123.03 / $218.78	Professional		$30.20	$123.03	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $251.19	Professional		$102.33	$134.90	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $60.26	Professional	26	$25.12	$33.11	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $102.33 / $190.55	Professional	TC	$75.86	$102.33	$190.55