Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.45 / $47.52 / $76.11	Facility	26	$41.45	$47.52	$76.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $87.19 / $154.13	Professional		$78.95	$87.19	$154.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $45.76 / $77.95	Professional	26	$40.11	$45.76	$77.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.24 / $41.64 / $74.48	Professional	TC	$32.24	$41.64	$74.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $102.17 / $156.72	Professional		$83.78	$102.17	$156.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $54.41 / $54.41	Professional	26	$54.41	$54.41	$54.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $98.17 / $178.76	Professional		$60.28	$98.17	$178.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.99 / $51.99 / $105.36	Professional	26	$31.99	$51.99	$105.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $45.99 / $87.88	Professional	TC	$20.60	$45.99	$87.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $107.60 / $203.59	Professional		$71.81	$107.60	$203.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.72 / $61.18 / $102.40	Professional	26	$44.72	$61.18	$102.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $48.99 / $101.20	Professional	TC	$29.11	$48.99	$101.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $108.91 / $286.13	Professional		$92.16	$108.91	$286.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.35 / $54.78 / $143.91	Professional	26	$46.35	$54.78	$143.91
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.72 / $54.13 / $142.22	Professional	TC	$43.72	$54.13	$142.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $73.84 / $149.52	Professional		$42.46	$73.84	$149.52
United Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $105.79 / $203.20	Professional		$73.86	$105.79	$203.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $61.74 / $109.75	Professional	26	$42.78	$61.74	$109.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.39 / $47.31 / $114.77	Professional	TC	$30.39	$47.31	$114.77