Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $131.83 / $269.15	Facility	26	$74.13	$131.83	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $549.54	Professional		$169.82	$275.42	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $144.54	Professional	26	$51.29	$64.57	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $218.78 / $389.05	Professional	TC	$128.82	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $104.71	Professional	26	$42.66	$53.70	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $602.56	Professional		$223.87	$354.81	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $125.89	Professional	26	$50.12	$79.43	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $275.42 / $489.78	Professional	TC	$169.82	$275.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $724.44	Professional		$234.42	$426.58	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $154.88	Professional	26	$52.48	$87.10	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $316.23 / $588.84	Professional	TC	$186.21	$316.23	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $1,000.00	Professional		$199.53	$257.04	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $204.17	Professional	26	$56.23	$75.86	$204.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $933.25	Professional	TC	$141.25	$181.97	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $181.97 / $323.59	Professional		$58.88	$181.97	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $602.56	Professional		$213.80	$354.81	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $134.90	Professional	26	$53.70	$72.44	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $275.42 / $478.63	Professional	TC	$158.49	$275.42	$478.63