Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $16.02 / $35.68	Facility	26	$7.59	$16.02	$35.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $29.29 / $84.96	Professional		$23.96	$29.29	$84.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.55 / $21.62	Professional	26	$7.08	$8.55	$21.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $168.24 / $168.24	Professional	50	$59.24	$168.24	$168.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.88 / $20.49 / $45.59	Professional	TC	$16.88	$20.49	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $32.02 / $33.32	Professional		$21.55	$32.02	$33.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $6.45 / $11.06	Professional	26	$6.45	$6.45	$11.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $37.06 / $76.39	Professional		$25.08	$37.06	$76.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $11.45 / $21.44	Professional	26	$7.75	$11.45	$21.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.85 / $56.08 / $115.41	Professional	50	$36.85	$56.08	$115.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $27.21 / $56.13	Professional	TC	$17.32	$27.21	$56.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $25.90 / $47.56	Professional		$8.88	$25.90	$47.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $44.07 / $83.19	Professional		$25.37	$44.07	$83.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $13.14 / $22.72	Professional	26	$8.05	$13.14	$22.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.44 / $31.36 / $57.90	Professional	TC	$17.44	$31.36	$57.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $56.17 / $117.79	Professional		$35.22	$56.17	$117.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $14.80 / $31.05	Professional	26	$9.27	$14.80	$31.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $41.35 / $86.70	Professional	TC	$25.94	$41.35	$86.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $38.68 / $67.09	Professional		$12.16	$38.68	$67.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $37.32 / $67.20	Professional		$26.49	$37.32	$67.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.65 / $19.00	Professional	26	$7.95	$10.65	$19.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $26.33 / $49.77	Professional	TC	$18.54	$26.33	$49.77