Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.19 / $90.16 / $212.47	Facility	26	$41.19	$90.16	$212.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $313.14 / $900.96	Professional		$256.20	$313.14	$900.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.33 / $54.31 / $213.36	Professional	26	$40.33	$54.31	$213.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.67 / $256.39 / $704.42	Professional	TC	$217.67	$256.39	$704.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $229.03 / $229.03	Professional		$229.03	$229.03	$229.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.67 / $66.68 / $84.90	Professional	26	$39.67	$66.68	$84.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $372.85 / $733.60	Professional		$252.60	$372.85	$733.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.75 / $63.57 / $110.30	Professional	26	$42.75	$63.57	$110.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.29 / $315.91 / $616.95	Professional	TC	$199.29	$315.91	$616.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $495.92 / $852.83	Professional		$292.00	$495.92	$852.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $85.21 / $128.47	Professional	26	$48.03	$85.21	$128.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.34 / $448.29 / $768.56	Professional	TC	$243.34	$448.29	$768.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.44 / $526.78 / $786.01	Professional		$330.44	$526.78	$786.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $80.20 / $143.78	Professional	26	$50.31	$80.20	$143.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $280.13 / $446.57 / $666.34	Professional	TC	$280.13	$446.57	$666.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $383.77 / $720.62	Professional		$68.11	$383.77	$720.62
United Facility/Professional Professional Modifier Low / Median / High Price $283.24 / $428.40 / $730.24	Professional		$283.24	$428.40	$730.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.36 / $61.63 / $112.91	Professional	26	$46.36	$61.63	$112.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.64 / $344.05 / $615.40	Professional	TC	$237.64	$344.05	$615.40