Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.71 / $14.65 / $34.15	Facility	26	$6.71	$14.65	$34.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $25.22 / $66.29	Professional		$19.78	$25.22	$66.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $10.39 / $21.54	Professional	26	$6.63	$10.39	$21.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.17 / $16.76 / $37.31	Professional	TC	$12.17	$16.76	$37.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $41.28 / $41.28	Professional		$30.73	$41.28	$41.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $9.78 / $14.29	Professional	26	$6.35	$9.78	$14.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.66 / $26.66 / $26.66	Professional	TC	$26.66	$26.66	$26.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $30.47 / $59.66	Professional		$21.26	$30.47	$59.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $10.21 / $20.52	Professional	26	$7.05	$10.21	$20.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.04 / $20.12 / $40.10	Professional	TC	$14.04	$20.12	$40.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $17.75 / $32.67	Professional		$7.83	$17.75	$32.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $35.27 / $63.22	Professional		$20.44	$35.27	$63.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $11.89 / $20.77	Professional	26	$7.19	$11.89	$20.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $23.98 / $42.89	Professional	TC	$14.70	$23.98	$42.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $41.46 / $86.94	Professional		$26.00	$41.46	$86.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $13.12 / $27.47	Professional	26	$8.23	$13.12	$27.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.79 / $28.36 / $64.41	Professional	TC	$17.79	$28.36	$64.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $22.69 / $40.45	Professional		$10.14	$22.69	$40.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $29.44 / $52.91	Professional		$22.28	$29.44	$52.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.94 / $16.60	Professional	26	$6.94	$9.94	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $20.13 / $34.67	Professional	TC	$14.62	$20.13	$34.67