Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.88 / $21.21 / $40.13	Facility	26	$7.88	$21.21	$40.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $36.24 / $95.89	Professional		$23.35	$36.24	$95.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $10.15 / $27.37	Professional	26	$7.67	$10.15	$27.37
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.49 / $12.45 / $46.46	Professional	52	$10.49	$12.45	$46.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $25.05 / $64.56	Professional	TC	$15.04	$25.05	$64.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $34.68 / $53.79	Professional		$19.00	$34.68	$53.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $16.18 / $16.75	Professional	26	$8.44	$16.18	$16.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $44.28 / $80.95	Professional		$27.93	$44.28	$80.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $13.30 / $24.91	Professional	26	$8.69	$13.30	$24.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $29.86 / $56.59	Professional	TC	$19.23	$29.86	$56.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $51.01 / $84.43	Professional		$28.94	$51.01	$84.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $15.66 / $26.51	Professional	26	$9.41	$15.66	$26.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $35.59 / $60.41	Professional	TC	$23.23	$35.59	$60.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $50.13 / $123.45	Professional		$30.98	$50.13	$123.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $15.38 / $36.90	Professional	26	$9.65	$15.38	$36.90
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $25.79 / $25.79 / $36.24	Professional	52	$25.79	$25.79	$36.24
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $35.24 / $97.78	Professional	TC	$21.33	$35.24	$97.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $29.05 / $52.10	Professional		$12.61	$29.05	$52.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $44.35 / $69.97	Professional		$30.17	$44.35	$69.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $12.94 / $21.37	Professional	26	$9.16	$12.94	$21.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $31.21 / $51.71	Professional	TC	$20.19	$31.21	$51.71