Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $92.11 / $203.57	Facility	26	$55.00	$92.11	$203.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $275.00 / $378.00	Professional		$145.97	$275.00	$378.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.15 / $55.00 / $137.74	Professional	26	$44.15	$55.00	$137.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.88 / $192.00 / $264.00	Professional	TC	$86.88	$192.00	$264.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.06 / $74.06 / $80.80	Professional	26	$74.06	$74.06	$80.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $219.83 / $400.00	Professional		$127.72	$219.83	$400.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.21 / $60.92 / $124.80	Professional	26	$43.21	$60.92	$124.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.50 / $126.10 / $273.22	Professional	TC	$84.50	$126.10	$273.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $256.06 / $415.34	Professional		$143.13	$256.06	$415.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $75.81 / $136.22	Professional	26	$44.69	$75.81	$136.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.72 / $169.96 / $302.68	Professional	TC	$95.72	$169.96	$302.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $255.39 / $535.96	Professional		$141.57	$255.39	$535.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.87 / $76.31 / $197.14	Professional	26	$47.87	$76.31	$197.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $93.70 / $170.36 / $495.09	Professional	TC	$93.70	$170.36	$495.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $90.12 / $218.59	Professional		$43.79	$90.12	$218.59
United Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $212.04 / $371.05	Professional		$138.13	$212.04	$371.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.36 / $62.55 / $107.44	Professional	26	$44.36	$62.55	$107.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.99 / $144.68 / $254.60	Professional	TC	$90.99	$144.68	$254.60