Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.95 / $96.95 / $221.41	Facility	26	$42.95	$96.95	$221.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.22 / $357.47 / $912.72	Professional		$286.22	$357.47	$912.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.27 / $51.53 / $142.19	Professional	26	$40.27	$51.53	$142.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.76 / $308.92 / $742.89	Professional	TC	$244.76	$308.92	$742.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $292.25 / $500.00	Professional		$292.25	$292.25	$500.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $84.48 / $91.68	Professional	26	$42.06	$84.48	$91.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $431.39 / $810.88	Professional		$294.70	$431.39	$810.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.50 / $67.20 / $115.76	Professional	26	$44.50	$67.20	$115.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.50 / $347.63 / $695.13	Professional	TC	$251.50	$347.63	$695.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.47 / $577.00 / $892.09	Professional		$309.47	$577.00	$892.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.37 / $91.73 / $135.05	Professional	26	$50.37	$91.73	$135.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.33 / $482.15 / $801.67	Professional	TC	$259.33	$482.15	$801.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.20 / $574.22 / $856.81	Professional		$360.20	$574.22	$856.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.80 / $84.17 / $152.76	Professional	26	$52.80	$84.17	$152.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $307.39 / $490.04 / $823.59	Professional	TC	$307.39	$490.04	$823.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $381.38 / $1,160.29	Professional		$71.47	$381.38	$1,160.29
United Facility/Professional Professional Modifier Low / Median / High Price $332.25 / $446.70 / $865.97	Professional		$332.25	$446.70	$865.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.35 / $65.84 / $117.88	Professional	26	$50.35	$65.84	$117.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.52 / $370.98 / $695.10	Professional	TC	$279.52	$370.98	$695.10