Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $24.00 / $53.48	Facility	26	$10.23	$24.00	$53.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $39.63 / $116.21	Professional		$32.39	$39.63	$116.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.35 / $29.59	Professional	26	$10.00	$12.35	$29.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $27.91 / $65.05	Professional	TC	$22.84	$27.91	$65.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.53 / $55.85	Professional		$28.46	$32.53	$55.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $15.18 / $22.31	Professional	26	$9.61	$15.18	$22.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.52 / $50.52 / $50.52	Professional	TC	$50.52	$50.52	$50.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $52.05 / $103.96	Professional		$35.22	$52.05	$103.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $16.39 / $32.13	Professional	26	$11.26	$16.39	$32.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $35.77 / $74.69	Professional	TC	$23.80	$35.77	$74.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $60.85 / $110.53	Professional		$34.88	$60.85	$110.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $19.32 / $31.86	Professional	26	$11.28	$19.32	$31.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $42.41 / $76.12	Professional	TC	$24.97	$42.41	$76.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $74.28 / $155.72	Professional		$46.60	$74.28	$155.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $20.48 / $44.32	Professional	26	$12.85	$20.48	$44.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.75 / $53.80 / $112.79	Professional	TC	$33.75	$53.80	$112.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $44.18 / $71.61	Professional		$12.20	$44.18	$71.61
United Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $49.28 / $91.82	Professional		$38.44	$49.28	$91.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $15.52 / $27.67	Professional	26	$11.26	$15.52	$27.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.51 / $35.94 / $64.37	Professional	TC	$25.51	$35.94	$64.37