Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.57 / $81.26 / $167.89	Facility	26	$33.57	$81.26	$167.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $112.44 / $246.35	Professional		$56.89	$112.44	$246.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.77 / $38.08 / $101.25	Professional	26	$30.77	$38.08	$101.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $78.66 / $176.58	Professional	TC	$18.17	$78.66	$176.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $34.92 / $74.30	Professional	26	$34.92	$34.92	$74.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $149.47 / $337.84	Professional		$90.82	$149.47	$337.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $52.55 / $103.61	Professional	26	$36.81	$52.55	$103.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.98 / $103.70 / $228.53	Professional	TC	$28.98	$103.70	$228.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.27 / $158.63 / $399.42	Professional		$80.27	$158.63	$399.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $69.42 / $117.87	Professional	26	$39.97	$69.42	$117.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $86.69 / $282.41	Professional	TC	$20.18	$86.69	$282.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $220.00 / $313.66	Professional		$146.07	$220.00	$313.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.79 / $68.22 / $100.07	Professional	26	$42.79	$68.22	$100.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $103.28 / $140.84 / $313.66	Professional	TC	$103.28	$140.84	$313.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $149.58 / $245.66	Professional		$56.83	$149.58	$245.66
United Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $135.16 / $309.22	Professional		$86.84	$135.16	$309.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $52.98 / $93.56	Professional	26	$38.04	$52.98	$93.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.26 / $88.05 / $250.43	Professional	TC	$34.26	$88.05	$250.43