Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.52 / $61.04 / $211.20	Facility	26	$52.52	$61.04	$211.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $366.53 / $761.81	Professional		$286.02	$366.53	$761.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.33 / $57.77 / $123.45	Professional	26	$51.33	$57.77	$123.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.26 / $310.72 / $576.02	Professional	TC	$239.26	$310.72	$576.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.33 / $481.34 / $696.56	Professional		$330.33	$481.34	$696.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.05 / $77.72 / $99.90	Professional	26	$65.05	$77.72	$99.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $426.05 / $790.28	Professional		$220.01	$426.05	$790.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $70.65 / $126.14	Professional	26	$41.13	$70.65	$126.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.60 / $359.15 / $665.14	Professional	TC	$151.60	$359.15	$665.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $370.60 / $569.57	Professional		$62.62	$370.60	$569.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.71 / $428.48 / $863.54	Professional		$211.71	$428.48	$863.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.16 / $76.89 / $130.75	Professional	26	$55.16	$76.89	$130.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.50 / $377.28 / $780.94	Professional	TC	$168.50	$377.28	$780.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $450.22 / $1,281.34	Professional		$262.70	$450.22	$1,281.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $69.95 / $183.77	Professional	26	$59.19	$69.95	$183.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $262.68 / $385.64 / $1,097.58	Professional	TC	$262.68	$385.64	$1,097.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $379.61 / $656.77	Professional		$58.51	$379.61	$656.77
United Facility/Professional Professional Modifier Low / Median / High Price $258.56 / $397.02 / $884.85	Professional		$258.56	$397.02	$884.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.58 / $77.84 / $144.79	Professional	26	$54.58	$77.84	$144.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.27 / $336.86 / $779.45	Professional	TC	$196.27	$336.86	$779.45