Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.60 / $379.08 / $800.45	Professional		$299.60	$379.08	$800.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $172.67 / $333.82	Professional	26	$143.80	$172.67	$333.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.50 / $184.83 / $417.99	Professional	TC	$141.50	$184.83	$417.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.58 / $425.58 / $425.58	Professional		$425.58	$425.58	$425.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.70 / $209.82 / $318.91	Professional	26	$80.70	$209.82	$318.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $300.39 / $801.04	Professional		$173.81	$300.39	$801.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.73 / $134.53 / $335.14	Professional	26	$74.73	$134.53	$335.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.07 / $148.60 / $494.19	Professional	TC	$99.07	$148.60	$494.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $365.04	Professional		$326.16	$326.16	$365.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $365.66	Professional	26	$153.56	$153.56	$365.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $262.22	Professional	TC	$172.60	$172.60	$262.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.37 / $354.18 / $1,643.36	Professional		$327.37	$354.18	$1,643.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $161.40 / $166.97 / $829.47	Professional	26	$161.40	$166.97	$829.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $165.97 / $187.22 / $813.89	Professional	TC	$165.97	$187.22	$813.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $305.18 / $597.85	Professional		$171.71	$305.18	$597.85
United Facility/Professional Professional Modifier Low / Median / High Price $208.48 / $491.38 / $962.11	Professional		$208.48	$491.38	$962.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.24 / $186.25 / $441.90	Professional	26	$111.24	$186.25	$441.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.24 / $259.83 / $564.01	Professional	TC	$97.24	$259.83	$564.01