Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.89 / $30.01 / $147.13	Facility	26	$28.89	$30.01	$147.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $78.51 / $223.78	Professional		$64.23	$78.51	$223.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $35.90 / $95.14	Professional	26	$28.22	$35.90	$95.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.22 / $45.49 / $104.49	Professional	TC	$37.22	$45.49	$104.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $46.86 / $61.43	Professional	26	$27.08	$46.86	$61.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $92.24 / $192.59	Professional		$75.23	$92.24	$192.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $39.27 / $76.72	Professional	26	$31.43	$39.27	$76.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.92 / $55.50 / $115.87	Professional	TC	$43.92	$55.50	$115.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $122.98 / $221.28	Professional		$75.03	$122.98	$221.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.81 / $53.11 / $91.31	Professional	26	$33.81	$53.11	$91.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.20 / $72.09 / $133.13	Professional	TC	$45.20	$72.09	$133.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $138.47 / $713.83	Professional		$86.87	$138.47	$713.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.38 / $46.31 / $118.27	Professional	26	$35.38	$46.31	$118.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $51.48 / $67.39 / $172.10	Professional	TC	$51.48	$67.39	$172.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $70.67 / $146.09	Professional		$33.29	$70.67	$146.09
United Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $103.13 / $178.20	Professional		$78.73	$103.13	$178.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $44.86 / $76.31	Professional	26	$32.83	$44.86	$76.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.72 / $60.80 / $105.07	Professional	TC	$44.72	$60.80	$105.07