Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.52 / $137.88 / $282.33	Facility	26	$55.52	$137.88	$282.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.23 / $309.51 / $940.21	Professional		$253.23	$309.51	$940.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $63.49 / $299.94	Professional	26	$51.94	$63.49	$299.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.29 / $246.02 / $701.00	Professional	TC	$201.29	$246.02	$701.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $497.66 / $497.66	Professional		$388.67	$497.66	$497.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.24 / $104.24 / $110.50	Professional	26	$104.24	$104.24	$110.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $394.44 / $730.92	Professional		$247.64	$394.44	$730.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.66 / $82.56 / $147.68	Professional	26	$56.66	$82.56	$147.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.79 / $308.26 / $583.24	Professional	TC	$183.79	$308.26	$583.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $561.58 / $859.77	Professional		$306.31	$561.58	$859.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.92 / $112.60 / $172.18	Professional	26	$66.92	$112.60	$172.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.38 / $435.59 / $708.42	Professional	TC	$239.38	$435.59	$708.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.17 / $519.98 / $2,066.00	Professional		$326.17	$519.98	$2,066.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.38 / $107.41 / $619.79	Professional	26	$67.38	$107.41	$619.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $258.80 / $412.57 / $1,446.20	Professional	TC	$258.80	$412.57	$1,446.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $338.79 / $467.03	Professional		$86.35	$338.79	$467.03
United Facility/Professional Professional Modifier Low / Median / High Price $336.89 / $480.75 / $816.29	Professional		$336.89	$480.75	$816.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.53 / $98.28 / $164.93	Professional	26	$68.53	$98.28	$164.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.58 / $369.02 / $644.08	Professional	TC	$260.58	$369.02	$644.08