Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.14 / $53.37 / $112.19	Facility	26	$29.14	$53.37	$112.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $67.23 / $128.88	Professional		$51.82	$67.23	$128.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $32.64 / $59.20	Professional	26	$28.00	$32.64	$59.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $33.43 / $68.11	Professional	TC	$19.32	$33.43	$68.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $80.95 / $153.34	Professional		$59.53	$80.95	$153.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.56 / $55.18 / $69.55	Professional	26	$37.56	$55.18	$69.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $88.55 / $161.88	Professional		$51.59	$88.55	$161.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.83 / $52.05 / $87.97	Professional	26	$26.83	$52.05	$87.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.11 / $38.82 / $87.37	Professional	TC	$25.11	$38.82	$87.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $80.72 / $185.38	Professional		$55.14	$80.72	$185.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.38 / $49.22 / $94.43	Professional	26	$33.38	$49.22	$94.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.48 / $32.21 / $99.50	Professional	TC	$20.48	$32.21	$99.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $83.68 / $370.00	Professional		$57.93	$83.68	$370.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $38.77 / $240.50	Professional	26	$26.84	$38.77	$240.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $44.92 / $129.50	Professional	TC	$31.10	$44.92	$129.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $72.20 / $134.53	Professional		$50.80	$72.20	$134.53
United Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $75.20 / $121.83	Professional		$52.69	$75.20	$121.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.52 / $43.14 / $67.20	Professional	26	$31.52	$43.14	$67.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $29.46 / $53.79	Professional	TC	$20.23	$29.46	$53.79