Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $170.95 / $378.92	Facility	26	$85.00	$170.95	$378.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.05 / $475.00 / $1,148.53	Professional		$370.05	$475.00	$1,148.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $124.27 / $249.24	Professional	26	$85.00	$124.27	$249.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.45 / $340.00 / $820.41	Professional	TC	$269.45	$340.00	$820.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $139.22 / $139.22 / $381.24	Professional	26	$139.22	$139.22	$381.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.21 / $531.71 / $1,005.77	Professional		$332.21	$531.71	$1,005.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.08 / $110.47 / $232.14	Professional	26	$79.08	$110.47	$232.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $498.31 / $797.62 / $1,521.24	Professional	50	$498.31	$797.62	$1,521.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.99 / $399.46 / $814.45	Professional	TC	$250.99	$399.46	$814.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.37 / $97.37 / $97.37	Facility	26	$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.99 / $686.26 / $1,175.79	Professional		$391.99	$686.26	$1,175.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.44 / $147.75 / $249.00	Professional	26	$83.44	$147.75	$249.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $304.20 / $512.60 / $941.03	Professional	TC	$304.20	$512.60	$941.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.46 / $581.02 / $1,575.91	Professional		$364.46	$581.02	$1,575.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.76 / $144.69 / $316.07	Professional	26	$90.76	$144.69	$316.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $273.69 / $436.31 / $1,397.31	Professional	TC	$273.69	$436.31	$1,397.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $361.12 / $612.96	Professional		$118.82	$361.12	$612.96
United Facility/Professional Professional Modifier Low / Median / High Price $365.44 / $569.83 / $980.14	Professional		$365.44	$569.83	$980.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.75 / $110.77 / $201.73	Professional	26	$82.75	$110.77	$201.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.08 / $440.60 / $768.90	Professional	TC	$286.08	$440.60	$768.90