Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $23.44 / $54.95	Facility	26	$10.72	$23.44	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $109.65	Professional		$33.11	$44.67	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $28.18	Professional	26	$8.91	$12.02	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $64.57	Professional	TC	$22.91	$32.36	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $81.28	Professional		$28.84	$41.69	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.49 / $21.88	Professional	26	$10.72	$15.49	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $93.33	Professional		$41.69	$54.95	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.45 / $24.55	Professional	26	$10.47	$14.45	$24.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.90 / $70.79	Professional	TC	$30.20	$38.90	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $107.15	Professional		$35.48	$61.66	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $27.54	Professional	26	$10.00	$16.22	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $45.71 / $79.43	Professional	TC	$26.92	$45.71	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $141.25	Professional		$44.67	$58.88	$141.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.49 / $39.81	Professional	26	$11.48	$15.49	$39.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $43.65 / $125.89	Professional	TC	$33.11	$43.65	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $41.69 / $72.44	Professional		$11.75	$41.69	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $93.33	Professional		$39.81	$51.29	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.49 / $24.55	Professional	26	$10.00	$13.49	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $69.18	Professional	TC	$28.18	$38.02	$69.18