Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.11 / $372.89 / $509.23	Professional		$303.11	$372.89	$509.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $43.58 / $86.42	Professional	26	$32.19	$43.58	$86.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.92 / $333.36 / $455.15	Professional	TC	$270.92	$333.36	$455.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $22.11 / $22.11	Professional	26	$22.11	$22.11	$22.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $216.72 / $881.84	Professional		$216.72	$216.72	$881.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $20.88 / $97.46	Professional	26	$20.88	$20.88	$97.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.84 / $195.84 / $782.07	Professional	TC	$195.84	$195.84	$782.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $388.11 / $1,177.26	Professional		$195.70	$388.11	$1,177.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.32 / $45.27 / $125.09	Professional	26	$23.32	$45.27	$125.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.37 / $284.02 / $950.14	Professional	TC	$170.37	$284.02	$950.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.18 / $591.22 / $3,559.88	Professional		$353.18	$591.22	$3,559.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.09 / $68.78 / $378.08	Professional	26	$41.09	$68.78	$378.08
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $312.08 / $522.44 / $3,181.79	Professional	TC	$312.08	$522.44	$3,181.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $368.98 / $664.50	Professional		$47.93	$368.98	$664.50
United Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $450.40 / $902.17	Professional		$251.26	$450.40	$902.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $50.89 / $104.95	Professional	26	$29.98	$50.89	$104.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.36 / $398.71 / $797.42	Professional	TC	$219.36	$398.71	$797.42