Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.16 / $36.52 / $102.55	Facility	26	$20.16	$36.52	$102.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.22 / $235.36 / $654.29	Professional		$176.22	$235.36	$654.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $35.38 / $58.79	Professional	26	$19.73	$35.38	$58.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.36 / $201.28 / $461.48	Professional	TC	$157.36	$201.28	$461.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $157.52 / $157.52	Professional		$157.52	$157.52	$157.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.86 / $32.64 / $37.51	Professional	26	$18.86	$32.64	$37.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $279.76 / $496.87	Professional		$207.55	$279.76	$496.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.16 / $28.65 / $52.84	Professional	26	$21.16	$28.65	$52.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $185.02 / $252.00 / $448.47	Professional	TC	$185.02	$252.00	$448.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $403.28 / $625.27	Professional		$244.95	$403.28	$625.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $40.60 / $62.89	Professional	26	$25.05	$40.60	$62.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.61 / $357.00 / $564.27	Professional	TC	$219.61	$357.00	$564.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $363.03 / $1,713.00	Professional		$227.72	$363.03	$1,713.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.63 / $39.26 / $171.30	Professional	26	$24.63	$39.26	$171.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $203.10 / $323.77 / $1,541.70	Professional	TC	$203.10	$323.77	$1,541.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $250.36 / $766.89	Professional		$33.04	$250.36	$766.89
United Facility/Professional Professional Modifier Low / Median / High Price $233.67 / $314.27 / $585.88	Professional		$233.67	$314.27	$585.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.16 / $31.07 / $55.27	Professional	26	$23.16	$31.07	$55.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.10 / $273.62 / $487.43	Professional	TC	$208.10	$273.62	$487.43