Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $272.66 / $392.94	Professional		$182.03	$272.66	$392.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $45.23 / $188.60	Professional	26	$29.20	$45.23	$188.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.01 / $235.62 / $696.04	Professional	TC	$174.01	$235.62	$696.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $19.38 / $74.78	Professional	26	$19.07	$19.38	$74.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $140.54 / $682.23	Professional		$140.54	$140.54	$682.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $18.43 / $96.71	Professional	26	$18.43	$18.43	$96.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $122.11 / $591.33	Professional	TC	$122.11	$122.11	$591.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $216.16 / $791.09	Professional		$102.66	$216.16	$791.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.93 / $30.21 / $107.28	Professional	26	$21.93	$30.21	$107.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.86 / $154.30 / $615.24	Professional	TC	$77.86	$154.30	$615.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $397.29 / $2,746.86	Professional		$237.33	$397.29	$2,746.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $58.98 / $342.94	Professional	26	$35.24	$58.98	$342.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $202.09 / $338.29 / $2,404.00	Professional	TC	$202.09	$338.29	$2,404.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $250.51 / $442.80	Professional		$43.88	$250.51	$442.80
United Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $313.39 / $661.69	Professional		$186.28	$313.39	$661.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $46.19 / $94.05	Professional	26	$27.26	$46.19	$94.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.99 / $268.57 / $539.41	Professional	TC	$158.99	$268.57	$539.41