Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.69 / $26.66 / $59.45	Facility	26	$11.69	$26.66	$59.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $44.39 / $133.08	Professional		$35.97	$44.39	$133.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $13.48 / $38.61	Professional	26	$11.42	$13.48	$38.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.07 / $30.64 / $65.84	Professional	TC	$25.07	$30.64	$65.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $31.05 / $79.16	Professional		$31.05	$31.05	$79.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $22.04 / $59.35	Professional	26	$11.21	$22.04	$59.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $58.65 / $116.79	Professional		$40.61	$58.65	$116.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $18.20 / $35.71	Professional	26	$12.73	$18.20	$35.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.93 / $39.27 / $81.11	Professional	TC	$26.93	$39.27	$81.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $66.95 / $122.44	Professional		$40.26	$66.95	$122.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $21.63 / $36.04	Professional	26	$12.84	$21.63	$36.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $46.44 / $84.05	Professional	TC	$28.30	$46.44	$84.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $81.06 / $169.97	Professional		$50.85	$81.06	$169.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $22.74 / $49.22	Professional	26	$14.27	$22.74	$49.22
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 $21.35 / $63.53 / $87.91	Professional		$21.35	$63.53	$87.91
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $56.64 / $100.88	Professional		$41.68	$56.64	$100.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $17.69 / $30.76	Professional	26	$12.58	$17.69	$30.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.92 / $38.68 / $70.50	Professional	TC	$28.92	$38.68	$70.50