Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $87.10 / $120.23	Facility	26	$23.99	$87.10	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $275.42	Professional		$85.11	$120.23	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $36.31 / $181.97	Professional	26	$22.91	$36.31	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $87.10 / $162.18	Professional	TC	$63.10	$87.10	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $58.88 / $81.28	Professional		$57.54	$58.88	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $35.48 / $56.23	Professional	26	$23.44	$35.48	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $173.78	Professional		$53.70	$53.70	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $14.79 / $48.98	Professional	26	$14.79	$14.79	$48.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $128.82	Professional	TC	$38.90	$38.90	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $389.05	Professional		$47.86	$69.18	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.20 / $95.50	Professional	26	$13.49	$18.20	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $52.48 / $281.84	Professional	TC	$33.11	$52.48	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $1,122.02	Professional		$114.82	$194.98	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $47.86 / $269.15	Professional	26	$28.84	$47.86	$269.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $144.54 / $851.14	Professional	TC	$87.10	$144.54	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $117.49 / $234.42	Professional		$33.88	$117.49	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $281.84	Professional		$79.43	$128.82	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $72.44	Professional	26	$20.89	$35.48	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $93.33 / $208.93	Professional	TC	$58.88	$93.33	$208.93