Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.63 / $61.31 / $218.44	Facility	26	$42.63	$61.31	$218.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $136.21 / $327.02	Professional		$117.80	$136.21	$327.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $48.92 / $120.03	Professional	26	$34.10	$48.92	$120.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.42 / $97.06 / $234.10	Professional	TC	$79.42	$97.06	$234.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.59 / $68.48 / $87.32	Professional	26	$39.59	$68.48	$87.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $86.36 / $86.36 / $86.36	Professional	TC	$86.36	$86.36	$86.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $172.74 / $358.26	Professional		$117.84	$172.74	$358.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $54.32 / $113.41	Professional	26	$35.61	$54.32	$113.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.16 / $123.88 / $251.63	Professional	TC	$77.16	$123.88	$251.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $208.98 / $390.03	Professional		$119.96	$208.98	$390.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $60.85 / $115.23	Professional	26	$35.11	$60.85	$115.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.69 / $154.52 / $282.38	Professional	TC	$85.69	$154.52	$282.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $243.07 / $537.11	Professional		$160.69	$243.07	$537.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.73 / $82.47 / $172.93	Professional	26	$51.73	$82.47	$172.93
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $108.96 / $173.69 / $400.76	Professional	TC	$108.96	$173.69	$400.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $153.13 / $301.60	Professional		$71.02	$153.13	$301.60
United Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $187.96 / $343.04	Professional		$125.11	$187.96	$343.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.56 / $54.08 / $100.93	Professional	26	$35.56	$54.08	$100.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.86 / $134.38 / $220.92	Professional	TC	$87.86	$134.38	$220.92