Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.69 / $25.36 / $60.93	Facility	26	$11.69	$25.36	$60.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.59 / $57.41 / $325.42	Facility	TC	$26.59	$57.41	$325.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $46.23 / $123.31	Professional		$35.15	$46.23	$123.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $16.87 / $45.66	Professional	26	$11.42	$16.87	$45.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.59 / $31.90 / $71.81	Professional	TC	$22.59	$31.90	$71.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $33.29 / $44.53	Professional		$26.54	$33.29	$44.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $21.25 / $70.76	Professional	26	$11.21	$21.25	$70.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $62.68 / $120.76	Professional		$42.93	$62.68	$120.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $21.62 / $37.36	Professional	26	$12.97	$21.62	$37.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.32 / $39.27 / $78.08	Professional	TC	$27.32	$39.27	$78.08
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 Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $71.78 / $119.94	Professional		$40.47	$71.78	$119.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $24.56 / $40.59	Professional	26	$15.51	$24.56	$40.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $47.14 / $84.05	Professional	TC	$28.91	$47.14	$84.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $75.98 / $159.31	Professional		$47.66	$75.98	$159.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $24.25 / $61.50	Professional	26	$14.27	$24.25	$61.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $53.24 / $141.02	Professional	TC	$33.40	$53.24	$141.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $40.96 / $77.90	Professional		$13.45	$40.96	$77.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $59.63 / $98.00	Professional		$40.83	$59.63	$98.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $19.76 / $32.44	Professional	26	$14.06	$19.76	$32.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $38.38 / $66.01	Professional	TC	$28.00	$38.38	$66.01