Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.00 / $12.93 / $37.15	Facility	26	$7.00	$12.93	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $33.28 / $85.81	Professional		$26.78	$33.28	$85.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $8.42 / $21.33	Professional	26	$6.84	$8.42	$21.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $22.05 / $50.01	Professional	TC	$17.87	$22.05	$50.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $55.00 / $60.66	Professional		$25.10	$55.00	$60.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $14.29 / $15.51	Professional	26	$7.02	$14.29	$15.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $39.74 / $78.84	Professional		$26.89	$39.74	$78.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $11.39 / $22.33	Professional	26	$7.73	$11.39	$22.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $28.32 / $59.15	Professional	TC	$18.63	$28.32	$59.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $45.18 / $84.01	Professional		$26.58	$45.18	$84.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $13.41 / $22.11	Professional	26	$7.93	$13.41	$22.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $33.44 / $60.15	Professional	TC	$19.55	$33.44	$60.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $57.29 / $120.13	Professional		$35.94	$57.29	$120.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $14.24 / $30.73	Professional	26	$8.93	$14.24	$30.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $43.05 / $90.26	Professional	TC	$27.01	$43.05	$90.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $34.78 / $60.44	Professional		$11.42	$34.78	$60.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $38.95 / $71.13	Professional		$28.45	$38.95	$71.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.85 / $19.23	Professional	26	$7.95	$10.85	$19.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.77 / $27.66 / $51.34	Professional	TC	$19.77	$27.66	$51.34