Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.30 / $16.64 / $37.15	Facility	26	$7.30	$16.64	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $33.49 / $86.84	Professional		$25.77	$33.49	$86.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.75 / $22.82	Professional	26	$7.11	$8.75	$22.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.13 / $23.10 / $53.66	Professional	TC	$17.13	$23.10	$53.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $58.26 / $58.26	Professional		$37.06	$58.26	$58.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $10.61 / $16.55	Professional	26	$7.02	$10.61	$16.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $40.84 / $77.56	Professional		$27.77	$40.84	$77.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $11.36 / $22.33	Professional	26	$7.75	$11.36	$22.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $28.83 / $56.05	Professional	TC	$19.86	$28.83	$56.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $47.13 / $84.43	Professional		$27.74	$47.13	$84.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $13.41 / $22.69	Professional	26	$7.97	$13.41	$22.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $34.58 / $63.25	Professional	TC	$20.45	$34.58	$63.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $55.03 / $115.39	Professional		$34.52	$55.03	$115.39
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 $25.59 / $40.79 / $88.78	Professional	TC	$25.59	$40.79	$88.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $33.50 / $52.90	Professional		$11.69	$33.50	$52.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $38.84 / $68.77	Professional		$29.35	$38.84	$68.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.86 / $19.23	Professional	26	$7.95	$10.86	$19.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.20 / $27.09 / $48.98	Professional	TC	$21.20	$27.09	$48.98