Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.29 / $12.93 / $37.15	Facility	26	$7.29	$12.93	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $38.50 / $94.26	Professional		$29.89	$38.50	$94.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $10.88 / $37.24	Professional	26	$7.11	$10.88	$37.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $26.88 / $62.27	Professional	TC	$22.57	$26.88	$62.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $47.95 / $67.84	Professional		$42.99	$47.95	$67.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $10.61 / $16.55	Professional	26	$6.71	$10.61	$16.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.80 / $46.80 / $46.80	Professional	TC	$46.80	$46.80	$46.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $42.19 / $88.04	Professional		$28.51	$42.19	$88.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $11.39 / $22.33	Professional	26	$7.73	$11.39	$22.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $33.17 / $68.63	Professional	TC	$21.22	$33.17	$68.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $50.13 / $94.07	Professional		$29.23	$50.13	$94.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $13.41 / $22.69	Professional	26	$7.93	$13.41	$22.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $37.76 / $72.05	Professional	TC	$21.52	$37.76	$72.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $64.08 / $134.38	Professional		$40.19	$64.08	$134.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $14.24 / $30.73	Professional	26	$8.93	$14.24	$30.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.26 / $49.84 / $104.49	Professional	TC	$31.26	$49.84	$104.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $37.95 / $62.62	Professional		$8.71	$37.95	$62.62
United Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $42.50 / $78.31	Professional		$31.24	$42.50	$78.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.85 / $19.22	Professional	26	$7.95	$10.85	$19.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.27 / $33.47 / $61.63	Professional	TC	$22.27	$33.47	$61.63