Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.11 / $57.42 / $163.44	Facility	26	$32.11	$57.42	$163.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.24 / $299.73 / $895.31	Professional		$245.24	$299.73	$895.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $53.57 / $106.20	Professional	26	$31.41	$53.57	$106.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.19 / $253.47 / $567.37	Professional	TC	$215.19	$253.47	$567.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $218.46 / $532.53	Professional		$218.46	$218.46	$532.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.99 / $58.36 / $66.31	Professional	26	$30.99	$58.36	$66.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.15 / $338.40 / $634.01	Professional		$221.15	$338.40	$634.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.78 / $48.45 / $85.28	Professional	26	$32.78	$48.45	$85.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.14 / $299.37 / $559.91	Professional	TC	$183.14	$299.37	$559.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $504.72 / $585.41	Professional		$80.70	$504.72	$585.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $417.99 / $790.64	Professional		$248.85	$417.99	$790.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $65.38 / $100.28	Professional	26	$37.21	$65.38	$100.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.37 / $374.50 / $714.87	Professional	TC	$217.37	$374.50	$714.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.51 / $470.61 / $750.51	Professional		$315.51	$470.61	$750.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $62.64 / $111.43	Professional	26	$39.29	$62.64	$111.43
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $276.22 / $440.35 / $657.04	Professional	TC	$276.22	$440.35	$657.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $338.35 / $1,042.88	Professional		$52.20	$338.35	$1,042.88
United Facility/Professional Professional Modifier Low / Median / High Price $237.86 / $376.98 / $687.14	Professional		$237.86	$376.98	$687.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.44 / $47.84 / $88.17	Professional	26	$35.44	$47.84	$88.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.32 / $325.58 / $619.87	Professional	TC	$203.32	$325.58	$619.87