Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $186.21 / $398.11	Facility	26	$85.11	$186.21	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,000.00	Professional		$338.84	$457.09	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $120.23 / $251.19	Professional	26	$81.28	$120.23	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $676.08	Professional	TC	$245.47	$338.84	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $954.99	Professional		$389.05	$549.54	$954.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $181.97	Professional	26	$75.86	$112.20	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $831.76 / $1,445.44	Professional	50	$588.84	$831.76	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $758.58	Professional	TC	$281.84	$436.52	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,096.48	Professional		$380.19	$660.69	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $131.83 / $229.09	Professional	26	$79.43	$131.83	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $501.19 / $891.25	Professional	TC	$295.12	$501.19	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,445.44	Professional		$338.84	$446.68	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $302.00	Professional	26	$83.18	$109.65	$302.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $1,412.54	Professional	TC	$257.04	$338.84	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $562.34	Professional		$89.13	$309.03	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $912.01	Professional		$354.81	$549.54	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $102.33 / $190.55	Professional	26	$79.43	$102.33	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $416.87 / $707.95	Professional	TC	$269.15	$416.87	$707.95