Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.95 / $434.86 / $752.63	Facility		$112.95	$434.86	$752.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.75 / $38.65 / $83.74	Facility	26	$21.75	$38.65	$83.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $129.78 / $288.86	Professional		$109.16	$129.78	$288.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.27 / $25.64 / $57.03	Professional	26	$21.27	$25.64	$57.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.78 / $102.26 / $194.27	Professional	TC	$89.78	$102.26	$194.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $153.18 / $179.72	Professional		$86.62	$153.18	$179.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $35.88 / $105.40	Professional	26	$17.30	$35.88	$105.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.95 / $296.94 / $354.68	Facility		$165.95	$296.94	$354.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $159.19 / $334.19	Professional		$101.61	$159.19	$334.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $29.36 / $54.66	Professional	26	$20.25	$29.36	$54.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.34 / $126.67 / $265.67	Professional	TC	$81.34	$126.67	$265.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $212.24 / $292.74	Facility		$131.97	$212.24	$292.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $43.41	Facility	26	$27.06	$27.06	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $178.17 / $317.11	Professional		$118.04	$178.17	$317.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $32.82 / $53.18	Professional	26	$22.57	$32.82	$53.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.65 / $149.24 / $264.82	Professional	TC	$94.65	$149.24	$264.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $169.35 / $380.24	Professional		$124.19	$169.35	$380.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $33.77 / $65.42	Professional	26	$24.76	$33.77	$65.42
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $99.42 / $135.57 / $328.72	Professional	TC	$99.42	$135.57	$328.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $132.69 / $322.39	Professional		$32.86	$132.69	$322.39
United Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $107.41 / $180.78	Facility		$25.10	$107.41	$180.78
United Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $177.67 / $306.14	Professional		$121.80	$177.67	$306.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $32.36 / $51.04	Professional	26	$23.52	$32.36	$51.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.28 / $150.02 / $245.01	Professional	TC	$96.28	$150.02	$245.01