Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.01 / $80.01 / $153.57	Facility	26	$80.01	$80.01	$153.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $408.64 / $827.17	Professional		$339.18	$408.64	$827.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.01 / $88.34 / $223.54	Professional	26	$80.01	$88.34	$223.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.72 / $327.10 / $676.98	Professional	TC	$263.72	$327.10	$676.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $444.52 / $791.45	Professional		$347.63	$444.52	$791.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.30 / $117.50 / $155.40	Professional	26	$89.30	$117.50	$155.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $495.75 / $887.37	Professional		$304.39	$495.75	$887.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.93 / $111.15 / $191.52	Professional	26	$63.93	$111.15	$191.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.64 / $387.61 / $697.66	Professional	TC	$205.64	$387.61	$697.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $508.20 / $975.17	Professional		$284.50	$508.20	$975.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.48 / $119.05 / $197.70	Professional	26	$87.48	$119.05	$197.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.94 / $419.57 / $845.02	Professional	TC	$210.94	$419.57	$845.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.73 / $515.02 / $1,465.78	Professional		$370.73	$515.02	$1,465.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.50 / $105.77 / $277.85	Professional	26	$89.50	$105.77	$277.85
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $365.21 / $417.38 / $1,187.88	Professional	TC	$365.21	$417.38	$1,187.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $441.42 / $731.01	Professional		$90.08	$441.42	$731.01
United Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $497.06 / $992.31	Professional		$339.49	$497.06	$992.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $124.38 / $212.71	Professional	26	$81.48	$124.38	$212.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.41 / $376.01 / $804.37	Professional	TC	$241.41	$376.01	$804.37