Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.36 / $85.62 / $215.44	Facility	26	$42.36	$85.62	$215.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $95.59 / $314.88	Professional		$70.67	$95.59	$314.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $48.02 / $128.62	Professional	26	$39.29	$48.02	$128.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.87 / $54.51 / $129.80	Professional	TC	$31.87	$54.51	$129.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $83.98 / $83.98	Professional		$83.98	$83.98	$83.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $86.66 / $113.94	Professional	26	$39.97	$86.66	$113.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $138.12 / $294.77	Professional		$84.14	$138.12	$294.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.06 / $61.19 / $129.41	Professional	26	$44.06	$61.19	$129.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.04 / $67.91 / $208.92	Professional	TC	$40.04	$67.91	$208.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $196.73 / $361.23	Professional		$103.45	$196.73	$361.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.26 / $85.01 / $138.68	Professional	26	$47.26	$85.01	$138.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.27 / $95.91 / $162.47	Professional	TC	$46.27	$95.91	$162.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.79 / $162.28 / $545.79	Professional		$101.79	$162.28	$545.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.86 / $85.86 / $128.81	Professional	26	$53.86	$85.86	$128.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $47.94 / $76.42 / $545.79	Professional	TC	$47.94	$76.42	$545.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $81.86 / $171.20	Professional		$62.75	$81.86	$171.20
United Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $144.18 / $248.83	Professional		$94.20	$144.18	$248.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.06 / $63.80 / $114.70	Professional	26	$47.06	$63.80	$114.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.03 / $68.66 / $135.81	Professional	TC	$43.03	$68.66	$135.81