Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $118.66 / $230.33	Professional		$92.06	$118.66	$230.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $14.99 / $27.08	Professional	26	$12.35	$14.99	$27.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $102.09 / $132.91	Professional	TC	$69.45	$102.09	$132.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $201.62 / $212.47	Professional		$114.44	$201.62	$212.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $140.63 / $257.57	Professional		$91.06	$140.63	$257.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $16.57 / $31.84	Professional	26	$10.83	$16.57	$31.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.95 / $124.90 / $239.40	Professional	TC	$80.95	$124.90	$239.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $126.63 / $288.30	Professional		$85.28	$126.63	$288.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $18.13 / $39.20	Professional	26	$11.80	$18.13	$39.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.73 / $112.21 / $256.31	Professional	TC	$73.73	$112.21	$256.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $127.86 / $204.58	Professional		$102.29	$127.86	$204.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $15.69 / $50.96	Professional	26	$11.41	$15.69	$50.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $90.88 / $120.39 / $181.76	Professional	TC	$90.88	$120.39	$181.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $117.12 / $226.49	Professional		$14.26	$117.12	$226.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $106.27 / $197.77	Professional		$81.87	$106.27	$197.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $15.32 / $26.09	Professional	26	$12.33	$15.32	$26.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $90.31 / $162.13	Professional	TC	$68.70	$90.31	$162.13