Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $21.40 / $46.06	Facility	26	$8.76	$21.40	$46.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $39.13 / $138.02	Professional		$27.79	$39.13	$138.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $10.75 / $27.14	Professional	26	$8.56	$10.75	$27.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $25.40 / $56.64	Professional	TC	$19.10	$25.40	$56.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $44.46 / $62.46	Professional		$22.66	$44.46	$62.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $14.16 / $18.60	Professional	26	$8.43	$14.16	$18.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $44.49 / $85.59	Professional		$31.60	$44.49	$85.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $14.13 / $27.68	Professional	26	$9.66	$14.13	$27.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.49 / $29.47 / $58.70	Professional	TC	$21.49	$29.47	$58.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $26.25 / $48.19	Professional		$10.27	$26.25	$48.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $52.60 / $88.59	Professional		$30.44	$52.60	$88.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $17.34 / $27.41	Professional	26	$9.98	$17.34	$27.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $36.65 / $61.31	Professional	TC	$21.94	$36.65	$61.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $58.99 / $123.71	Professional		$37.00	$58.99	$123.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $17.07 / $38.14	Professional	26	$10.71	$17.07	$38.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $41.93 / $99.96	Professional	TC	$26.30	$41.93	$99.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $33.53 / $58.98	Professional		$13.22	$33.53	$58.98
United Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $44.27 / $75.87	Professional		$31.64	$44.27	$75.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $14.04 / $23.83	Professional	26	$9.93	$14.04	$23.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $29.85 / $51.35	Professional	TC	$21.75	$29.85	$51.35