Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.23 / $71.45 / $161.96	Facility	26	$31.23	$71.45	$161.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $138.74 / $329.69	Professional		$98.84	$138.74	$329.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.29 / $35.69 / $91.27	Professional	26	$24.29	$35.69	$91.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.62 / $105.87 / $248.73	Professional	TC	$86.62	$105.87	$248.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $64.45 / $64.52	Professional	26	$50.63	$64.45	$64.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $178.74 / $344.21	Professional		$120.21	$178.74	$344.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.60 / $46.53 / $84.82	Professional	26	$31.60	$46.53	$84.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.33 / $133.88 / $261.27	Professional	TC	$82.33	$133.88	$261.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $213.85 / $378.01	Professional		$126.72	$213.85	$378.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $53.85 / $95.30	Professional	26	$34.97	$53.85	$95.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.30 / $156.49 / $280.54	Professional	TC	$92.30	$156.49	$280.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $169.90 / $457.77	Professional		$141.58	$169.90	$457.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.75 / $43.88 / $110.38	Professional	26	$34.75	$43.88	$110.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $106.83 / $128.19 / $367.05	Professional	TC	$106.83	$128.19	$367.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $188.50 / $352.50	Professional		$52.47	$188.50	$352.50
United Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $183.34 / $328.04	Professional		$135.06	$183.34	$328.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $47.96 / $83.44	Professional	26	$36.61	$47.96	$83.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.08 / $143.50 / $255.57	Professional	TC	$102.08	$143.50	$255.57