Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.49 / $107.86 / $248.15	Facility	26	$48.49	$107.86	$248.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $179.96 / $534.23	Professional		$133.04	$179.96	$534.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.27 / $65.93 / $162.83	Professional	26	$47.27	$65.93	$162.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.63 / $110.68 / $345.93	Professional	TC	$87.63	$110.68	$345.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $131.30 / $152.13	Professional		$131.30	$131.30	$152.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.27 / $91.04 / $100.00	Professional	26	$52.27	$91.04	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $238.36 / $431.58	Professional		$163.71	$238.36	$431.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.70 / $73.48 / $128.99	Professional	26	$50.70	$73.48	$128.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.22 / $154.51 / $302.10	Professional	TC	$108.22	$154.51	$302.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $318.39 / $498.37	Professional		$187.90	$318.39	$498.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $102.01 / $150.44	Professional	26	$56.84	$102.01	$150.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.34 / $200.97 / $355.12	Professional	TC	$121.34	$200.97	$355.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $298.89 / $627.80	Professional		$187.50	$298.89	$627.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $94.45 / $184.19	Professional	26	$59.25	$94.45	$184.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $128.25 / $204.45 / $627.80	Professional	TC	$128.25	$204.45	$627.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $215.69 / $388.06	Professional		$81.33	$215.69	$388.06
United Facility/Professional Professional Modifier Low / Median / High Price $177.17 / $237.03 / $424.76	Professional		$177.17	$237.03	$424.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.31 / $72.94 / $132.96	Professional	26	$55.31	$72.94	$132.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.47 / $163.63 / $287.80	Professional	TC	$112.47	$163.63	$287.80