Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $190.55 / $354.81	Facility	26	$66.07	$190.55	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $1,096.48	Professional		$181.97	$263.03	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $275.42	Professional	26	$64.57	$89.13	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $158.49 / $354.81	Professional	TC	$120.23	$158.49	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $131.83	Professional	26	$60.26	$85.11	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $602.56	Professional		$239.88	$309.03	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $91.20 / $154.88	Professional	26	$79.43	$91.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $190.55 / $316.23	Professional	TC	$158.49	$190.55	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $676.08	Professional		$229.09	$371.54	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $114.82 / $208.93	Professional	26	$66.07	$114.82	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $239.88 / $436.52	Professional	TC	$151.36	$239.88	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $2,041.74	Professional		$218.78	$288.40	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $95.50 / $194.98	Professional	26	$74.13	$95.50	$194.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $177.83 / $380.19	Professional	TC	$144.54	$177.83	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $371.54	Professional		$75.86	$162.18	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $549.54 / $1,202.26	Professional		$234.42	$549.54	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $173.78	Professional	26	$67.61	$91.20	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $371.54 / $1,047.13	Professional	TC	$154.88	$371.54	$1,047.13