Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $20.89 / $45.71	Facility	26	$8.51	$20.89	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $70.79	Professional		$22.91	$30.90	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $24.55	Professional	26	$7.08	$10.00	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $42.66	Professional	TC	$15.14	$20.89	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $17.38	Professional	26	$7.76	$9.33	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $38.02 / $39.81	Professional	TC	$38.02	$38.02	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $66.07	Professional		$28.84	$39.81	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $21.88	Professional	26	$9.12	$12.88	$21.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $45.71	Professional	TC	$19.50	$26.30	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $75.86	Professional		$25.70	$43.65	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.80 / $24.55	Professional	26	$8.71	$13.80	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.84 / $52.48	Professional	TC	$17.78	$28.84	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $107.15	Professional		$32.36	$41.69	$107.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.18 / $34.67	Professional	26	$9.77	$13.18	$34.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $91.20	Professional	TC	$22.39	$29.51	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.55 / $53.70	Professional		$10.00	$24.55	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $66.07	Professional		$29.51	$37.15	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $20.89	Professional	26	$8.51	$11.48	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.12 / $45.71	Professional	TC	$19.50	$25.12	$45.71