Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.81 / $22.57 / $56.44	Facility	26	$10.81	$22.57	$56.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $46.24 / $130.34	Professional		$37.97	$46.24	$130.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $16.63 / $36.63	Professional	26	$10.57	$16.63	$36.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.07 / $31.21 / $75.90	Professional	TC	$25.07	$31.21	$75.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $78.05 / $78.05	Professional		$34.72	$78.05	$78.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $19.64 / $22.92	Professional	26	$9.94	$19.64	$22.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $57.58 / $115.01	Professional		$39.69	$57.58	$115.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.00 / $33.90	Professional	26	$11.75	$17.00	$33.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.93 / $39.11 / $81.68	Professional	TC	$26.93	$39.11	$81.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $65.95 / $119.74	Professional		$38.82	$65.95	$119.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $20.28 / $33.60	Professional	26	$11.88	$20.28	$33.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $46.44 / $84.69	Professional	TC	$28.30	$46.44	$84.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $79.37 / $166.40	Professional		$49.79	$79.37	$166.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $21.04 / $46.79	Professional	26	$13.20	$21.04	$46.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $58.32 / $122.31	Professional	TC	$36.59	$58.32	$122.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $41.78 / $78.27	Professional		$12.40	$41.78	$78.27
United Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $55.87 / $99.06	Professional		$41.02	$55.87	$99.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.58 / $16.38 / $28.46	Professional	26	$11.58	$16.38	$28.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $40.56 / $71.90	Professional	TC	$28.91	$40.56	$71.90