Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.05 / $24.00 / $47.54	Facility	26	$9.05	$24.00	$47.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $38.95 / $108.19	Professional		$30.26	$38.95	$108.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $12.35 / $32.83	Professional	26	$8.99	$12.35	$32.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $27.69 / $69.29	Professional	TC	$21.27	$27.69	$69.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $32.61 / $67.86	Professional		$24.59	$32.61	$67.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $12.70 / $17.71	Professional	26	$8.72	$12.70	$17.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.63 / $43.63 / $43.63	Professional	TC	$43.63	$43.63	$43.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $50.84 / $94.07	Professional		$34.83	$50.84	$94.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $15.88 / $28.92	Professional	26	$9.97	$15.88	$28.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.84 / $34.61 / $68.13	Professional	TC	$23.84	$34.61	$68.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $29.09 / $53.37	Professional		$10.63	$29.09	$53.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $59.62 / $101.17	Professional		$34.07	$59.62	$101.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $18.57 / $31.49	Professional	26	$11.28	$18.57	$31.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $40.51 / $73.59	Professional	TC	$25.23	$40.51	$73.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $64.09 / $134.37	Professional		$40.21	$64.09	$134.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $18.05 / $44.32	Professional	26	$11.07	$18.05	$44.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $46.45 / $115.75	Professional	TC	$29.14	$46.45	$115.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $38.34 / $65.43	Professional		$14.49	$38.34	$65.43
United Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $51.15 / $90.22	Professional		$35.31	$51.15	$90.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $15.42 / $24.83	Professional	26	$10.91	$15.42	$24.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.34 / $34.11 / $58.30	Professional	TC	$24.34	$34.11	$58.30