Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.06 / $40.89 / $84.93	Facility	26	$22.06	$40.89	$84.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $182.31 / $358.87	Professional		$149.26	$182.31	$358.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $26.24 / $63.71	Professional	26	$22.06	$26.24	$63.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.29 / $138.59 / $329.50	Professional	TC	$127.29	$138.59	$329.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.55 / $243.55 / $286.32	Professional		$243.55	$243.55	$286.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $35.88 / $42.40	Professional	26	$17.14	$35.88	$42.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $218.50 / $435.99	Professional		$138.79	$218.50	$435.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $31.83 / $61.47	Professional	26	$20.61	$31.83	$61.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.40 / $187.54 / $374.51	Professional	TC	$114.40	$187.54	$374.51
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 $156.36 / $231.63 / $442.74	Professional		$156.36	$231.63	$442.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $34.39 / $62.00	Professional	26	$24.14	$34.39	$62.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.19 / $208.58 / $384.95	Professional	TC	$135.19	$208.58	$384.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $231.33 / $529.48	Professional		$169.64	$231.33	$529.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.26 / $82.34	Professional	26	$25.12	$34.26	$82.34
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $144.52 / $197.07 / $469.04	Professional	TC	$144.52	$197.07	$469.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $161.93 / $274.72	Professional		$27.89	$161.93	$274.72
United Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $233.00 / $414.38	Professional		$164.37	$233.00	$414.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.95 / $34.72 / $58.49	Professional	26	$24.95	$34.72	$58.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.36 / $207.73 / $353.73	Professional	TC	$138.36	$207.73	$353.73