Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.35 / $39.52 / $86.05	Facility	26	$22.35	$39.52	$86.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $161.32 / $290.87	Professional		$120.53	$161.32	$290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $25.21 / $55.39	Professional	26	$20.63	$25.21	$55.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.48 / $112.84 / $222.67	Professional	TC	$95.48	$112.84	$222.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $189.84 / $189.84	Professional		$91.25	$189.84	$189.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $35.88 / $41.79	Professional	26	$18.23	$35.88	$41.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $170.44 / $349.49	Professional		$107.11	$170.44	$349.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.42 / $28.62 / $51.73	Professional	26	$19.42	$28.62	$51.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.85 / $137.96 / $286.27	Professional	TC	$86.85	$137.96	$286.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $186.21 / $329.19	Professional		$126.20	$186.21	$329.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.64 / $32.13 / $54.67	Professional	26	$21.64	$32.13	$54.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.18 / $158.15 / $282.77	Professional	TC	$101.18	$158.15	$282.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $178.53 / $377.87	Professional		$130.91	$178.53	$377.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $32.00 / $65.43	Professional	26	$24.76	$32.00	$65.43
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $106.16 / $144.77 / $330.69	Professional	TC	$106.16	$144.77	$330.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $124.06 / $211.06	Professional		$27.50	$124.06	$211.06
United Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $195.14 / $323.39	Professional		$131.13	$195.14	$323.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.66 / $30.98 / $50.12	Professional	26	$22.66	$30.98	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.20 / $154.49 / $262.25	Professional	TC	$101.20	$154.49	$262.25