Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $40.74 / $72.44	Facility	26	$13.18	$40.74	$72.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $75.86 / $389.05	Facility	TC	$25.70	$75.86	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $107.15	Professional		$33.11	$43.65	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $70.79	Professional	26	$12.02	$15.14	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $60.26	Professional	TC	$20.89	$28.18	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $50.12	Professional		$29.51	$29.51	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $30.20	Professional	TC	$28.18	$28.18	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $81.28	Professional		$38.90	$48.98	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $29.51	Professional	26	$15.14	$19.05	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.90 / $52.48	Professional	TC	$23.99	$30.90	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $109.65	Professional		$36.31	$60.26	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $22.91 / $39.81	Professional	26	$13.49	$22.91	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $74.13	Professional	TC	$24.55	$38.02	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $275.42	Professional		$45.71	$60.26	$275.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.50 / $38.90	Professional	26	$14.79	$19.50	$38.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.02 / $81.28	Professional	TC	$30.90	$38.02	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $41.69 / $75.86	Professional		$15.49	$41.69	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $95.50	Professional		$40.74	$51.29	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.05 / $33.88	Professional	26	$14.45	$19.05	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $61.66	Professional	TC	$25.12	$32.36	$61.66