Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.95 / $103.26 / $221.41	Facility	26	$42.95	$103.26	$221.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.70 / $301.52 / $743.21	Professional		$246.70	$301.52	$743.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.07 / $52.00 / $233.63	Professional	26	$42.07	$52.00	$233.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.50 / $252.39 / $622.53	Professional	TC	$206.50	$252.39	$622.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $59.31 / $81.14	Professional	26	$40.18	$59.31	$81.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $387.31 / $708.32	Professional		$287.14	$387.31	$708.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.43 / $60.44 / $114.98	Professional	26	$44.43	$60.44	$114.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.46 / $327.83 / $593.34	Professional	TC	$239.46	$327.83	$593.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.56 / $560.88 / $865.82	Professional		$326.56	$560.88	$865.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.25 / $86.33 / $135.65	Professional	26	$53.25	$86.33	$135.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.02 / $469.15 / $749.48	Professional	TC	$273.02	$469.15	$749.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $315.85 / $751.32	Professional		$258.58	$315.85	$751.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.45 / $83.61 / $266.35	Professional	26	$52.45	$83.61	$266.35
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $258.58 / $266.35 / $626.55	Professional	TC	$258.58	$266.35	$626.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $361.59 / $439.54	Professional		$71.50	$361.59	$439.54
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $412.42 / $753.86	Professional		$318.80	$412.42	$753.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $66.56 / $117.70	Professional	26	$48.65	$66.56	$117.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.38 / $354.82 / $635.98	Professional	TC	$271.38	$354.82	$635.98