Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $28.84 / $66.07	Facility	26	$12.02	$28.84	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $147.91	Professional		$33.11	$45.71	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $39.81	Professional	26	$10.96	$16.22	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $61.66	Professional	TC	$20.89	$28.84	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $79.43	Professional		$28.84	$35.48	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $25.12	Professional	26	$10.96	$12.88	$25.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	TC	$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $89.13	Professional		$38.90	$52.48	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $29.51	Professional	26	$12.88	$18.20	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $60.26	Professional	TC	$25.70	$33.88	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $104.71	Professional		$34.67	$57.54	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $33.88	Professional	26	$12.02	$19.50	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.02 / $70.79	Professional	TC	$23.99	$38.02	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $134.90	Professional		$43.65	$56.23	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.20 / $48.98	Professional	26	$13.49	$18.20	$48.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.90 / $120.23	Professional	TC	$30.20	$38.90	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.20 / $70.79	Professional		$13.80	$30.20	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $91.20	Professional		$38.90	$50.12	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.60 / $30.20	Professional	26	$12.30	$16.60	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $60.26	Professional	TC	$25.12	$33.11	$60.26