Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $17.32 / $38.65	Facility	26	$7.59	$17.32	$38.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $34.75 / $84.65	Professional		$28.43	$34.75	$84.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.82 / $23.73	Professional	26	$7.11	$8.82	$23.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $25.69 / $60.92	Professional	TC	$21.35	$25.69	$60.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $69.64 / $69.64	Professional		$69.64	$69.64	$69.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $14.33 / $16.12	Professional	26	$11.34	$14.33	$16.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $43.66 / $91.15	Professional		$28.72	$43.66	$91.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $11.85 / $23.22	Professional	26	$8.14	$11.85	$23.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $33.20 / $68.63	Professional	TC	$20.82	$33.20	$68.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $50.51 / $94.98	Professional		$29.48	$50.51	$94.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $13.94 / $23.63	Professional	26	$8.34	$13.94	$23.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $36.86 / $71.83	Professional	TC	$21.26	$36.86	$71.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $65.78 / $137.90	Professional		$41.26	$65.78	$137.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $14.80 / $31.97	Professional	26	$9.27	$14.80	$31.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $50.98 / $106.86	Professional	TC	$31.98	$50.98	$106.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $39.40 / $66.29	Professional		$9.51	$39.40	$66.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $45.20 / $81.40	Professional		$30.13	$45.20	$81.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $11.22 / $19.98	Professional	26	$8.27	$11.22	$19.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $30.85 / $60.83	Professional	TC	$21.84	$30.85	$60.83