Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $99.92 / $193.20	Professional		$80.62	$99.92	$193.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.46 / $85.20 / $217.00	Professional	26	$63.46	$85.20	$217.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $22.95 / $61.79	Professional	TC	$18.04	$22.95	$61.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $56.27 / $56.27	Professional		$56.27	$56.27	$56.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.77 / $143.35 / $143.35	Professional	26	$83.77	$143.35	$143.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $116.39 / $273.31	Professional		$54.87	$116.39	$273.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $81.00 / $198.14	Professional	26	$36.58	$81.00	$198.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $26.98 / $80.22	Professional	TC	$22.33	$26.98	$80.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $109.60 / $308.33	Professional		$57.41	$109.60	$308.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.30 / $82.41 / $227.03	Professional	26	$41.30	$82.41	$227.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.21 / $28.46 / $111.78	Professional	TC	$14.21	$28.46	$111.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $169.54 / $895.03	Professional		$101.28	$169.54	$895.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.12 / $125.76 / $683.14	Professional	26	$75.12	$125.76	$683.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $43.80 / $211.89	Professional	TC	$26.16	$43.80	$211.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $109.35 / $194.62	Professional		$30.78	$109.35	$194.62
United Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $127.70 / $282.91	Professional		$70.53	$127.70	$282.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $90.48 / $191.90	Professional	26	$52.95	$90.48	$191.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $40.04 / $78.59	Professional	TC	$16.00	$40.04	$78.59