Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.47 / $19.25 / $43.10	Facility	26	$8.47	$19.25	$43.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.42 / $77.56	Professional		$24.00	$30.42	$77.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $9.61 / $24.72	Professional	26	$7.90	$9.61	$24.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $19.72 / $49.75	Professional	TC	$16.14	$19.72	$49.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $8.23 / $10.78	Professional	26	$8.23	$8.23	$10.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $40.46 / $79.61	Professional		$27.78	$40.46	$79.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $13.07 / $25.89	Professional	26	$8.72	$13.07	$25.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.70 / $26.82 / $53.15	Professional	TC	$18.70	$26.82	$53.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $46.93 / $84.43	Professional		$28.26	$46.93	$84.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $15.56 / $26.23	Professional	26	$8.96	$15.56	$26.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $31.19 / $57.80	Professional	TC	$19.80	$31.19	$57.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $54.47 / $114.21	Professional		$34.17	$54.47	$114.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $16.50 / $36.90	Professional	26	$10.35	$16.50	$36.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $37.97 / $90.96	Professional	TC	$23.82	$37.97	$90.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $28.59 / $54.32	Professional		$9.77	$28.59	$54.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $39.96 / $69.56	Professional		$29.02	$39.96	$69.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $12.12 / $21.15	Professional	26	$8.60	$12.12	$21.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $26.02 / $46.61	Professional	TC	$19.39	$26.02	$46.61