Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $180.56 / $578.76	Professional		$67.58	$180.56	$578.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $40.09 / $530.19	Professional	26	$20.97	$40.09	$530.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.25 / $68.54 / $233.06	Professional	TC	$39.25	$68.54	$233.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $130.86 / $130.86	Professional		$130.86	$130.86	$130.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $13.15 / $47.06	Professional	26	$13.15	$13.15	$47.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $55.62 / $214.64	Professional		$29.52	$55.62	$214.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $24.87 / $62.20	Professional	26	$12.10	$24.87	$62.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $33.65 / $161.80	Professional	TC	$17.48	$33.65	$161.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $79.70 / $119.18	Professional		$26.40	$79.70	$119.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $75.53 / $292.87	Professional		$35.57	$75.53	$292.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $19.60 / $74.50	Professional	26	$14.01	$19.60	$74.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $44.48 / $216.78	Professional	TC	$20.89	$44.48	$216.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $161.04 / $861.99	Professional		$96.20	$161.04	$861.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $40.96 / $228.52	Professional	26	$24.47	$40.96	$228.52
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $71.73 / $101.40 / $633.47	Professional	TC	$71.73	$101.40	$633.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $100.41 / $182.28	Professional		$28.55	$100.41	$182.28
United Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $84.65 / $227.30	Professional		$56.43	$84.65	$227.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $30.30 / $62.51	Professional	26	$17.76	$30.30	$62.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.35 / $61.90 / $171.34	Professional	TC	$36.35	$61.90	$171.34