Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $12.05 / $38.65	Facility	26	$7.59	$12.05	$38.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.49 / $107.74	Professional		$24.92	$30.49	$107.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.70 / $24.98	Professional	26	$7.33	$11.70	$24.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.03 / $51.18	Professional	TC	$17.57	$20.03	$51.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $28.07 / $56.48	Professional		$20.49	$28.07	$56.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $12.59 / $15.67	Professional	26	$7.31	$12.59	$15.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.20 / $36.20 / $81.61	Professional	TC	$36.20	$36.20	$81.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $36.33 / $74.54	Professional		$24.12	$36.33	$74.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $11.55 / $23.22	Professional	26	$7.81	$11.55	$23.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.47 / $25.35 / $52.94	Professional	TC	$16.47	$25.35	$52.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $24.13 / $44.31	Professional		$8.88	$24.13	$44.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $43.54 / $80.81	Professional		$25.33	$43.54	$80.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $13.25 / $23.38	Professional	26	$8.11	$13.25	$23.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.91 / $29.96 / $57.18	Professional	TC	$16.91	$29.96	$57.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $53.34 / $111.86	Professional		$33.46	$53.34	$111.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $14.80 / $31.05	Professional	26	$9.27	$14.80	$31.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $38.53 / $80.77	Professional	TC	$24.17	$38.53	$80.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $28.55 / $51.74	Professional		$8.84	$28.55	$51.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $37.19 / $65.22	Professional		$26.69	$37.19	$65.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $10.92 / $19.53	Professional	26	$7.97	$10.92	$19.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $24.34 / $46.12	Professional	TC	$18.19	$24.34	$46.12