Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $371.54 / $691.83	Facility	26	$128.82	$371.54	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $645.65	Professional		$213.80	$295.12	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $190.55 / $512.86	Professional	26	$123.03	$190.55	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $141.25 / $309.03	Professional	TC	$97.72	$141.25	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $208.93 / $281.84	Professional	26	$117.49	$208.93	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $537.03	Professional		$275.42	$331.13	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $173.78 / $281.84	Professional	26	$144.54	$173.78	$281.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $158.49 / $251.19	Professional	TC	$125.89	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $758.58	Professional		$288.40	$467.74	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $239.88 / $398.11	Professional	26	$151.36	$239.88	$398.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $213.80 / $354.81	Professional	TC	$134.90	$213.80	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $1,737.80	Professional		$323.59	$380.19	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $199.53 / $912.01	Professional	26	$169.82	$199.53	$912.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $181.97 / $831.76	Professional	TC	$154.88	$181.97	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $467.74	Professional		$190.55	$218.78	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $758.58	Professional		$269.15	$354.81	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $186.21 / $389.05	Professional	26	$141.25	$186.21	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $169.82 / $354.81	Professional	TC	$128.82	$169.82	$354.81