Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $169.58 / $375.95	Facility	26	$85.00	$169.58	$375.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.17 / $475.00 / $1,098.58	Professional		$372.17	$475.00	$1,098.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $135.18 / $278.31	Professional	26	$85.00	$135.18	$278.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.98 / $340.00 / $816.86	Professional	TC	$281.98	$340.00	$816.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.02 / $138.05 / $167.01	Professional	26	$71.02	$138.05	$167.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.60 / $527.38 / $1,001.45	Professional		$333.60	$527.38	$1,001.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.55 / $109.80 / $228.90	Professional	26	$78.55	$109.80	$228.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $252.59 / $401.32 / $819.64	Professional	TC	$252.59	$401.32	$819.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.07 / $689.90 / $1,200.41	Professional		$393.07	$689.90	$1,200.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.72 / $145.94 / $249.00	Professional	26	$82.72	$145.94	$249.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $305.63 / $516.91 / $946.47	Professional	TC	$305.63	$516.91	$946.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.45 / $581.00 / $1,570.19	Professional		$364.45	$581.00	$1,570.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.06 / $143.57 / $313.60	Professional	26	$90.06	$143.57	$313.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $274.41 / $437.45 / $1,394.18	Professional	TC	$274.41	$437.45	$1,394.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $342.75 / $612.94	Professional		$113.46	$342.75	$612.94
United Facility/Professional Professional Modifier Low / Median / High Price $389.63 / $567.91 / $982.78	Professional		$389.63	$567.91	$982.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.75 / $115.53 / $194.48	Professional	26	$81.75	$115.53	$194.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.68 / $442.38 / $817.90	Professional	TC	$278.68	$442.38	$817.90