Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.21 / $63.77 / $135.56	Facility	26	$35.21	$63.77	$135.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.98 / $273.08 / $581.69	Professional		$231.98	$273.08	$581.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.21 / $39.71 / $84.51	Professional	26	$35.21	$39.71	$84.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.67 / $226.50 / $413.54	Professional	TC	$200.67	$226.50	$413.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $250.74 / $456.11	Professional		$212.83	$250.74	$456.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $52.66 / $68.81	Professional	26	$35.22	$52.66	$68.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.59 / $379.68 / $537.75	Professional		$215.59	$379.68	$537.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $55.54 / $81.40	Professional	26	$33.36	$55.54	$81.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.58 / $319.82 / $456.35	Professional	TC	$181.58	$319.82	$456.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.94 / $352.64 / $629.76	Professional		$253.94	$352.64	$629.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.88 / $52.59 / $92.61	Professional	26	$38.88	$52.59	$92.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.69 / $298.88 / $537.15	Professional	TC	$214.69	$298.88	$537.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $310.44 / $620.88	Professional		$262.68	$310.44	$620.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.07 / $48.19 / $107.71	Professional	26	$37.07	$48.19	$107.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $201.73 / $262.25 / $586.14	Professional	TC	$201.73	$262.25	$586.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $284.44 / $391.75	Professional		$50.83	$284.44	$391.75
United Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $356.70 / $642.42	Professional		$262.39	$356.70	$642.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $52.41 / $89.04	Professional	26	$38.82	$52.41	$89.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.54 / $297.06 / $504.83	Professional	TC	$224.54	$297.06	$504.83