Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $83.18 / $165.96	Facility	26	$46.77	$83.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $380.19	Professional		$128.82	$162.18	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $120.23	Professional	26	$40.74	$51.29	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $223.87	Professional	TC	$85.11	$107.15	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $269.15	Professional		$85.11	$100.00	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $70.79	Professional	26	$43.65	$60.26	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $380.19	Professional		$151.36	$275.42	$380.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $81.28 / $117.49	Professional	26	$47.86	$81.28	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $194.98 / $275.42	Professional	TC	$104.71	$194.98	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $380.19	Professional		$141.25	$218.78	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $117.49	Professional	26	$47.86	$66.07	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $151.36 / $269.15	Professional	TC	$95.50	$151.36	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $489.78	Professional		$141.25	$181.97	$489.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $165.96	Professional	26	$43.65	$58.88	$165.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $125.89 / $489.78	Professional	TC	$95.50	$125.89	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $229.09 / $275.42	Professional		$81.28	$229.09	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $371.54	Professional		$131.83	$199.53	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $109.65	Professional	26	$42.66	$58.88	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $131.83 / $263.03	Professional	TC	$87.10	$131.83	$263.03