Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $21.17 / $44.58	Facility	26	$8.76	$21.17	$44.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $21.21 / $52.36	Professional		$14.91	$21.21	$52.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $9.94 / $25.04	Professional	26	$8.26	$9.94	$25.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.96 / $9.97 / $25.50	Professional	TC	$5.96	$9.97	$25.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $30.34 / $30.34	Professional		$30.34	$30.34	$30.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $18.07 / $47.50	Professional	26	$8.15	$18.07	$47.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $28.96 / $54.59	Professional		$17.69	$28.96	$54.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $13.87 / $27.06	Professional	26	$9.19	$13.87	$27.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.35 / $12.86 / $31.14	Professional	TC	$8.35	$12.86	$31.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.14 / $23.96	Professional		$8.69	$13.14	$23.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $34.08 / $61.45	Professional		$18.30	$34.08	$61.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $16.73 / $26.51	Professional	26	$9.44	$16.73	$26.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.93 / $16.57 / $28.96	Professional	TC	$8.93	$16.57	$28.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $36.97 / $88.21	Professional		$20.34	$36.97	$88.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $17.07 / $39.31	Professional	26	$10.71	$17.07	$39.31
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $9.63 / $17.50 / $78.17	Professional	TC	$9.63	$17.50	$78.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $16.53 / $33.38	Professional		$9.27	$16.53	$33.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $29.68 / $50.94	Professional		$18.30	$29.68	$50.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.00 / $23.06	Professional	26	$9.27	$13.00	$23.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $13.82 / $24.70	Professional	TC	$8.32	$13.82	$24.70