Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.05 / $21.31 / $47.54	Facility	26	$9.05	$21.31	$47.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $38.88 / $104.72	Professional		$30.80	$38.88	$104.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.33 / $25.65	Professional	26	$8.46	$10.33	$25.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $27.69 / $63.65	Professional	TC	$22.34	$27.69	$63.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $16.26 / $16.26	Professional	26	$16.26	$16.26	$16.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $50.18 / $99.86	Professional		$34.88	$50.18	$99.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $14.52 / $28.57	Professional	26	$9.97	$14.52	$28.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $34.78 / $72.36	Professional	TC	$23.61	$34.78	$72.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $57.51 / $103.13	Professional		$34.04	$57.51	$103.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $17.17 / $28.29	Professional	26	$9.98	$17.17	$28.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $41.42 / $74.51	Professional	TC	$24.66	$41.42	$74.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $69.73 / $146.25	Professional		$43.75	$69.73	$146.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $17.64 / $39.38	Professional	26	$11.07	$17.64	$39.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.68 / $52.10 / $109.23	Professional	TC	$32.68	$52.10	$109.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $50.57 / $92.52	Professional		$14.98	$50.57	$92.52
United Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $48.42 / $86.71	Professional		$36.07	$48.42	$86.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $14.05 / $24.60	Professional	26	$9.93	$14.05	$24.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $33.28 / $63.19	Professional	TC	$25.77	$33.28	$63.19