Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $22.39 / $46.77	Facility	26	$8.71	$22.39	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $54.95	Professional		$14.13	$19.95	$54.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $44.67	Professional	26	$7.94	$10.96	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $8.91 / $21.38	Professional	TC	$6.03	$8.91	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $30.90	Professional		$14.79	$14.79	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.22 / $19.50	Professional	26	$9.77	$16.22	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $53.70	Professional		$20.42	$30.90	$53.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.80 / $22.91	Professional	26	$9.77	$13.80	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $15.14 / $32.36	Professional	TC	$9.33	$15.14	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $23.44	Professional		$8.71	$12.02	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $57.54	Professional		$16.98	$31.62	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.79 / $25.70	Professional	26	$9.12	$14.79	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $15.49 / $27.54	Professional	TC	$8.13	$15.49	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $89.13	Professional		$19.50	$25.70	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.80 / $35.48	Professional	26	$10.23	$13.80	$35.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $12.30 / $69.18	Professional	TC	$9.55	$12.30	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $33.88	Professional		$9.55	$17.78	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $46.77	Professional		$18.20	$28.84	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $22.91	Professional	26	$9.33	$12.02	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $13.49 / $23.99	Professional	TC	$8.32	$13.49	$23.99