Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.44 / $89.28 / $203.57	Facility	26	$39.44	$89.28	$203.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.70 / $207.41 / $598.35	Professional		$169.70	$207.41	$598.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $45.11 / $133.90	Professional	26	$36.90	$45.11	$133.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.79 / $162.30 / $434.16	Professional	TC	$132.79	$162.30	$434.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.04 / $157.04 / $244.53	Professional		$157.04	$157.04	$244.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.92 / $38.00 / $81.31	Professional	26	$36.92	$38.00	$81.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.17 / $291.25 / $491.32	Professional		$199.17	$291.25	$491.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $61.62 / $105.53	Professional	26	$42.00	$61.62	$105.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.26 / $229.31 / $405.17	Professional	TC	$156.26	$229.31	$405.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.54 / $394.54 / $624.39	Professional		$241.54	$394.54	$624.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.34 / $82.95 / $123.07	Professional	26	$46.34	$82.95	$123.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.78 / $319.41 / $507.58	Professional	TC	$185.78	$319.41	$507.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $350.83 / $701.98	Professional		$220.07	$350.83	$701.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.18 / $76.81 / $135.09	Professional	26	$48.18	$76.81	$135.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $171.89 / $274.02 / $701.98	Professional	TC	$171.89	$274.02	$701.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $225.01 / $307.92	Professional		$61.32	$225.01	$307.92
United Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $314.58 / $582.74	Professional		$228.00	$314.58	$582.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $59.26 / $108.59	Professional	26	$45.06	$59.26	$108.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.19 / $240.67 / $430.83	Professional	TC	$177.19	$240.67	$430.83