Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.17 / $15.10 / $43.10	Facility	26	$8.17	$15.10	$43.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $34.50 / $128.80	Professional		$26.95	$34.50	$128.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.93 / $27.70	Professional	26	$7.99	$9.93	$27.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $23.10 / $51.35	Professional	TC	$18.63	$23.10	$51.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $21.79 / $28.83	Professional		$19.85	$21.79	$28.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $13.25 / $17.36	Professional	26	$8.26	$13.25	$17.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $41.97 / $82.03	Professional		$29.30	$41.97	$82.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $13.21 / $25.89	Professional	26	$9.01	$13.21	$25.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $28.64 / $57.91	Professional	TC	$20.18	$28.64	$57.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $49.26 / $85.99	Professional		$29.74	$49.26	$85.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $15.56 / $25.64	Professional	26	$9.41	$15.56	$25.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.02 / $33.57 / $59.06	Professional	TC	$21.02	$33.57	$59.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $56.73 / $118.96	Professional		$35.59	$56.73	$118.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.94 / $35.67	Professional	26	$10.00	$15.94	$35.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.59 / $40.79 / $95.87	Professional	TC	$25.59	$40.79	$95.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $59.60 / $91.60	Professional		$53.40	$59.60	$91.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $41.65 / $72.70	Professional		$30.14	$41.65	$72.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.50 / $22.29	Professional	26	$9.27	$12.50	$22.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.02 / $50.57	Professional	TC	$20.42	$28.02	$50.57