Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $20.71 / $51.99	Facility	26	$10.23	$20.71	$51.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $45.07 / $112.27	Professional		$33.14	$45.07	$112.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $11.50 / $28.02	Professional	26	$9.44	$11.50	$28.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $30.98 / $72.34	Professional	TC	$23.58	$30.98	$72.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $44.50 / $73.67	Professional		$31.50	$44.50	$73.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $19.29 / $21.07	Professional	26	$9.84	$19.29	$21.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.36 / $54.36 / $54.36	Professional	TC	$54.36	$54.36	$54.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $56.27 / $109.65	Professional		$39.08	$56.27	$109.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $15.15 / $31.24	Professional	26	$10.34	$15.15	$31.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.69 / $40.09 / $81.28	Professional	TC	$28.69	$40.09	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $66.93 / $113.01	Professional		$39.11	$66.93	$113.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $17.66 / $31.14	Professional	26	$10.32	$17.66	$31.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.16 / $49.26 / $84.69	Professional	TC	$29.16	$49.26	$84.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $75.97 / $159.30	Professional		$47.65	$75.97	$159.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $19.89 / $41.74	Professional	26	$12.49	$19.89	$41.74
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.17 / $56.06 / $125.02	Professional	TC	$35.17	$56.06	$125.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $43.63 / $73.88	Professional		$14.95	$43.63	$73.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $55.76 / $95.64	Professional		$40.40	$55.76	$95.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $14.73 / $25.43	Professional	26	$10.28	$14.73	$25.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.49 / $40.35 / $70.13	Professional	TC	$29.49	$40.35	$70.13