Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $24.55 / $56.23	Facility	26	$10.23	$24.55	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $107.15	Professional		$30.90	$43.65	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $37.15	Professional	26	$9.33	$14.13	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $64.57	Professional	TC	$21.88	$30.20	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $35.48 / $35.48	Professional		$34.67	$35.48	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.18 / $22.39	Professional	26	$8.91	$13.18	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $87.10	Professional		$37.15	$48.98	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.22 / $26.92	Professional	26	$11.75	$16.22	$26.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $58.88	Professional	TC	$23.99	$32.36	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $104.71	Professional		$34.67	$54.95	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $30.90	Professional	26	$10.96	$17.78	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.90 / $75.86	Professional	TC	$23.99	$38.90	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $138.04	Professional		$43.65	$57.54	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.85 / $42.66	Professional	26	$11.75	$15.85	$42.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $100.00	Professional	TC	$31.62	$41.69	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $35.48 / $72.44	Professional		$12.02	$35.48	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $89.13	Professional		$36.31	$46.77	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $25.70	Professional	26	$11.22	$14.45	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $60.26	Professional	TC	$24.55	$33.11	$60.26