Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $100.00 / $467.74	Facility		$44.67	$100.00	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $19.50 / $48.98	Facility	26	$9.33	$19.50	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $93.33	Professional		$22.91	$38.02	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $32.36	Professional	26	$8.91	$14.79	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.30 / $52.48	Professional	TC	$18.62	$26.30	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $61.66	Professional		$22.91	$30.20	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.30 / $19.05	Professional	26	$8.51	$12.30	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $23.44 / $34.67	Professional	TC	$16.22	$23.44	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $85.11	Facility		$26.92	$52.48	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $70.79	Professional		$30.20	$42.66	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.45 / $23.99	Professional	26	$10.23	$14.45	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $51.29	Professional	TC	$20.42	$28.18	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $35.48 / $56.23	Facility		$14.45	$35.48	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $27.54 / $44.67	Professional		$10.96	$27.54	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $158.49	Facility		$40.74	$57.54	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $87.10	Professional		$29.51	$46.77	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $27.54	Professional	26	$9.77	$15.85	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $32.36 / $61.66	Professional	TC	$20.42	$32.36	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $120.23	Professional		$36.31	$47.86	$120.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.13 / $38.02	Professional	26	$10.47	$14.13	$38.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.88 / $91.20	Professional	TC	$26.30	$33.88	$91.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $173.78	Facility		$100.00	$114.82	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.92 / $58.88	Professional		$10.72	$26.92	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $218.78 / $218.78	Facility		$26.30	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $75.86	Professional		$30.90	$39.81	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $22.91	Professional	26	$10.00	$12.88	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.92 / $51.29	Professional	TC	$21.38	$26.92	$51.29