Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.20 / $121.11 / $246.66	Facility	26	$48.20	$121.11	$246.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.30 / $319.36 / $771.08	Professional		$261.30	$319.36	$771.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.56 / $53.78 / $140.13	Professional	26	$44.56	$53.78	$140.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.18 / $264.22 / $766.92	Professional	TC	$216.18	$264.22	$766.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.23 / $232.23 / $232.23	Professional		$232.23	$232.23	$232.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $414.16 / $738.94	Professional		$304.70	$414.16	$738.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.15 / $67.98 / $125.39	Professional	26	$50.15	$67.98	$125.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.75 / $347.97 / $618.98	Professional	TC	$250.75	$347.97	$618.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.94 / $594.99 / $924.18	Professional		$366.94	$594.99	$924.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.73 / $96.32 / $153.03	Professional	26	$59.73	$96.32	$153.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $306.05 / $489.51 / $784.84	Professional	TC	$306.05	$489.51	$784.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.72 / $533.60 / $2,505.00	Professional		$334.72	$533.60	$2,505.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $58.89 / $93.89 / $400.80	Professional	26	$58.89	$93.89	$400.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $275.83 / $439.72 / $2,104.19	Professional	TC	$275.83	$439.72	$2,104.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $378.63 / $465.19	Professional		$80.28	$378.63	$465.19
United Facility/Professional Professional Modifier Low / Median / High Price $347.08 / $455.94 / $799.70	Professional		$347.08	$455.94	$799.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.14 / $131.32	Professional	26	$54.95	$75.14	$131.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $287.37 / $385.16 / $668.38	Professional	TC	$287.37	$385.16	$668.38