Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $21.38 / $48.98	Facility	26	$8.71	$21.38	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $141.25	Professional		$28.18	$43.65	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $31.62	Professional	26	$7.94	$12.59	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.12 / $53.70	Professional	TC	$18.62	$25.12	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $63.10	Professional		$22.91	$37.15	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $18.62	Professional	26	$7.59	$12.88	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $21.38 / $23.99	Professional	TC	$17.38	$21.38	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $74.13	Professional		$33.11	$42.66	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $23.99	Professional	26	$10.72	$14.13	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $51.29	Professional	TC	$22.39	$28.18	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $23.99 / $42.66	Professional		$10.23	$23.99	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $83.18	Professional		$28.18	$48.98	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.49 / $26.30	Professional	26	$9.77	$15.49	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.11 / $58.88	Professional	TC	$20.42	$33.11	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $109.65	Professional		$35.48	$46.77	$109.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.80 / $35.48	Professional	26	$10.23	$13.80	$35.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $100.00	Professional	TC	$25.70	$33.11	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $33.11 / $54.95	Professional		$10.47	$33.11	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $74.13	Professional		$31.62	$40.74	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $22.91	Professional	26	$10.00	$12.88	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $51.29	Professional	TC	$20.89	$28.18	$51.29