Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.40 / $22.79 / $57.97	Facility	26	$11.40	$22.79	$57.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.84 / $101.93 / $204.27	Facility	TC	$24.84	$101.93	$204.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $38.24 / $102.85	Professional		$31.72	$38.24	$102.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $13.60 / $31.92	Professional	26	$10.86	$13.60	$31.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $25.05 / $62.60	Professional	TC	$21.10	$25.05	$62.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $75.66 / $75.66	Professional		$75.66	$75.66	$75.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $12.25 / $22.72	Professional	26	$9.74	$12.25	$22.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $47.47 / $98.94	Professional		$36.51	$47.47	$98.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $17.27 / $30.47	Professional	26	$12.24	$17.27	$30.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.14 / $32.79 / $68.48	Professional	TC	$23.14	$32.79	$68.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $59.41 / $108.27	Professional		$37.90	$59.41	$108.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.67 / $21.38 / $36.86	Professional	26	$13.67	$21.38	$36.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.14 / $39.76 / $72.89	Professional	TC	$24.14	$39.76	$72.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $71.45 / $355.39	Professional		$44.83	$71.45	$355.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $18.22 / $46.49	Professional	26	$13.92	$18.22	$46.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.91 / $40.46 / $103.30	Professional	TC	$30.91	$40.46	$103.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $39.03 / $69.70	Professional		$14.77	$39.03	$69.70
United Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $50.06 / $90.88	Professional		$37.83	$50.06	$90.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $18.21 / $30.86	Professional	26	$13.31	$18.21	$30.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $33.35 / $59.74	Professional	TC	$24.52	$33.35	$59.74