Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $18.62 / $39.81	Facility	26	$7.24	$18.62	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $104.71	Professional		$23.99	$34.67	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.91 / $24.55	Professional	26	$6.61	$8.91	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $51.29	Professional	TC	$16.98	$22.91	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $45.71	Professional		$19.50	$27.54	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.76 / $14.45	Professional	26	$6.17	$7.76	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.50 / $25.12	Professional	TC	$19.50	$19.50	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $66.07	Professional		$28.84	$38.90	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.48 / $19.05	Professional	26	$8.13	$11.48	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $27.54 / $48.98	Professional	TC	$20.89	$27.54	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $77.62	Professional		$25.70	$42.66	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.30 / $21.88	Professional	26	$7.59	$12.30	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $31.62 / $57.54	Professional	TC	$19.50	$31.62	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $107.15	Professional		$33.11	$42.66	$107.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $30.20	Professional	26	$8.51	$11.48	$30.20
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.62 / $89.13	Professional	TC	$24.55	$31.62	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $26.92 / $53.70	Professional		$8.71	$26.92	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $67.61	Professional		$29.51	$37.15	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $18.62	Professional	26	$7.94	$10.00	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.70 / $47.86	Professional	TC	$20.89	$25.70	$47.86