Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.77 / $87.82 / $295.69	Facility	26	$57.77	$87.82	$295.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $166.33 / $476.15	Professional		$104.20	$166.33	$476.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $66.59 / $158.72	Professional	26	$52.85	$66.59	$158.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.14 / $93.01 / $402.27	Professional	TC	$48.14	$93.01	$402.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $232.15 / $232.15	Professional		$212.69	$232.15	$232.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $96.33 / $119.23 / $122.76	Professional	26	$96.33	$119.23	$122.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $224.03 / $707.96	Professional		$122.31	$224.03	$707.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.07 / $80.79 / $163.04	Professional	26	$56.07	$80.79	$163.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.63 / $111.28 / $651.27	Professional	TC	$57.63	$111.28	$651.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $77.09	Facility	26	$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $299.69 / $819.45	Professional		$124.46	$299.69	$819.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.28 / $95.00 / $176.26	Professional	26	$56.28	$95.00	$176.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.92 / $164.51 / $522.48	Professional	TC	$73.92	$164.51	$522.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $244.66 / $1,276.61	Professional		$134.56	$244.66	$1,276.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.08 / $114.91 / $278.83	Professional	26	$72.08	$114.91	$278.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $62.48 / $113.60 / $1,276.61	Professional	TC	$62.48	$113.60	$1,276.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $107.47 / $288.60	Professional		$88.61	$107.47	$288.60
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $226.05 / $540.27	Professional		$134.40	$226.05	$540.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.65 / $79.00 / $140.72	Professional	26	$56.65	$79.00	$140.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.57 / $111.22 / $443.48	Professional	TC	$63.57	$111.22	$443.48