Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.09 / $234.20 / $450.19	Facility	26	$89.09	$234.20	$450.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $417.25 / $988.32	Professional		$330.58	$417.25	$988.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.65 / $104.43 / $270.07	Professional	26	$82.65	$104.43	$270.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.17 / $321.32 / $765.20	Professional	TC	$247.17	$321.32	$765.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $353.38 / $353.38 / $353.38	Professional		$353.38	$353.38	$353.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.86 / $172.57 / $188.44	Professional	26	$83.86	$172.57	$188.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.86 / $532.28 / $953.38	Professional		$390.86	$532.28	$953.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.68 / $124.86 / $244.48	Professional	26	$98.68	$124.86	$244.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $291.89 / $415.02 / $708.91	Professional	TC	$291.89	$415.02	$708.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.90 / $738.98 / $1,221.30	Professional		$439.90	$738.98	$1,221.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.41 / $178.64 / $316.12	Professional	26	$110.41	$178.64	$316.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $329.49 / $546.35 / $913.47	Professional	TC	$329.49	$546.35	$913.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.21 / $684.24 / $3,109.00	Professional		$429.21	$684.24	$3,109.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $112.99 / $180.13 / $746.16	Professional	26	$112.99	$180.13	$746.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $316.22 / $504.11 / $2,362.84	Professional	TC	$316.22	$504.11	$2,362.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $450.50 / $721.85	Professional		$152.03	$450.50	$721.85
United Facility/Professional Professional Modifier Low / Median / High Price $417.89 / $570.32 / $1,009.18	Professional		$417.89	$570.32	$1,009.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.42 / $131.31 / $239.69	Professional	26	$98.42	$131.31	$239.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.35 / $434.39 / $769.49	Professional	TC	$316.35	$434.39	$769.49