Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.66 / $93.66 / $175.22	Facility	26	$93.66	$93.66	$175.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.21 / $276.57 / $487.30	Professional		$238.21	$276.57	$487.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.15 / $103.16 / $168.28	Professional	26	$92.15	$103.16	$168.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.58 / $172.63 / $330.97	Professional	TC	$140.58	$172.63	$330.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $524.14 / $537.76	Professional		$269.73	$524.14	$537.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $122.97 / $122.97 / $122.97	Professional	26	$122.97	$122.97	$122.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.59 / $328.30 / $618.21	Professional		$201.59	$328.30	$618.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.34 / $128.79 / $241.48	Professional	26	$74.34	$128.79	$241.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.70 / $216.41 / $411.57	Professional	TC	$94.70	$216.41	$411.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.45 / $361.47 / $691.48	Professional		$231.45	$361.47	$691.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.19 / $138.76 / $234.72	Professional	26	$101.19	$138.76	$234.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.32 / $226.81 / $477.89	Professional	TC	$134.32	$226.81	$477.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.63 / $337.86 / $961.57	Professional		$295.63	$337.86	$961.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.25 / $125.57 / $329.88	Professional	26	$106.25	$125.57	$329.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $194.21 / $240.45 / $631.69	Professional	TC	$194.21	$240.45	$631.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $269.99 / $472.14	Professional		$104.73	$269.99	$472.14
United Facility/Professional Professional Modifier Low / Median / High Price $227.32 / $360.98 / $626.90	Professional		$227.32	$360.98	$626.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.64 / $141.01 / $239.95	Professional	26	$97.64	$141.01	$239.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.66 / $222.82 / $479.07	Professional	TC	$130.66	$222.82	$479.07