Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $156.33 / $365.53	Facility	26	$85.00	$156.33	$365.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.47 / $457.40 / $1,013.43	Professional		$335.47	$457.40	$1,013.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $108.12 / $191.16	Professional	26	$85.00	$108.12	$191.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.02 / $340.00 / $783.89	Professional	TC	$248.02	$340.00	$783.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.39 / $67.04 / $134.02	Professional	26	$66.39	$67.04	$134.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.12 / $517.54 / $1,009.12	Professional		$303.12	$517.54	$1,009.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.93 / $102.46 / $219.58	Professional	26	$74.93	$102.46	$219.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.60 / $383.71 / $817.10	Professional	TC	$224.60	$383.71	$817.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.20 / $687.00 / $1,250.59	Professional		$360.20	$687.00	$1,250.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.36 / $133.50 / $237.69	Professional	26	$79.36	$133.50	$237.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $284.80 / $543.39 / $1,043.61	Professional	TC	$284.80	$543.39	$1,043.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $594.02 / $1,772.99	Professional		$326.70	$594.02	$1,772.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.76 / $134.63 / $305.00	Professional	26	$86.76	$134.63	$305.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $239.94 / $436.26 / $1,591.75	Professional	TC	$239.94	$436.26	$1,591.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $314.11 / $547.54	Professional		$112.18	$314.11	$547.54
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $575.12 / $994.82	Professional		$350.94	$575.12	$994.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.77 / $108.76 / $194.61	Professional	26	$78.77	$108.76	$194.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.80 / $489.06 / $802.80	Professional	TC	$262.80	$489.06	$802.80