Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.93 / $23.92 / $51.99	Facility	26	$9.93	$23.92	$51.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $50.47 / $230.69	Professional		$39.54	$50.47	$230.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.33 / $31.38	Professional	26	$9.27	$11.33	$31.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.28 / $37.01 / $84.70	Professional	TC	$30.28	$37.01	$84.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $86.29 / $86.29	Professional		$86.29	$86.29	$86.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $20.48 / $20.48	Professional	26	$20.48	$20.48	$20.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $62.62 / $126.98	Professional		$42.07	$62.62	$126.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $15.99 / $31.24	Professional	26	$10.94	$15.99	$31.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $46.56 / $97.22	Professional	TC	$30.98	$46.56	$97.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $73.45 / $130.02	Professional		$42.20	$73.45	$130.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $19.32 / $31.24	Professional	26	$10.94	$19.32	$31.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $56.48 / $103.48	Professional	TC	$32.97	$56.48	$103.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $90.10 / $188.94	Professional		$56.52	$90.10	$188.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.13 / $19.34 / $44.32	Professional	26	$12.13	$19.34	$44.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $70.76 / $148.37	Professional	TC	$44.39	$70.76	$148.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $53.91 / $87.84	Professional		$11.86	$53.91	$87.84
United Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $62.45 / $111.34	Professional		$46.53	$62.45	$111.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.92 / $15.41 / $26.86	Professional	26	$10.92	$15.41	$26.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.92 / $45.24 / $84.68	Professional	TC	$33.92	$45.24	$84.68