Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $22.39 / $42.66	Facility	26	$7.94	$22.39	$42.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $61.66 / $204.17	Facility	TC	$19.50	$61.66	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $112.20	Professional		$19.95	$34.67	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $35.48	Professional	26	$7.08	$10.00	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $47.86	Professional	TC	$15.85	$22.91	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $60.26	Professional		$22.91	$39.81	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.72 / $15.85	Professional	26	$6.92	$10.72	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $23.99 / $36.31	Professional	TC	$13.80	$23.99	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $58.88	Professional		$27.54	$36.31	$58.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.48 / $18.20	Professional	26	$9.12	$11.48	$18.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.12 / $41.69	Professional	TC	$18.62	$25.12	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.70 / $40.74	Professional		$9.33	$25.70	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $79.43	Professional		$26.92	$42.66	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.49 / $23.99	Professional	26	$7.94	$13.49	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $57.54	Professional	TC	$19.05	$29.51	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $269.15	Professional		$34.67	$44.67	$269.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $77.62	Professional	26	$9.12	$12.02	$77.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $190.55	Professional	TC	$25.12	$32.36	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $31.62 / $54.95	Professional		$9.55	$31.62	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $67.61	Professional		$28.84	$36.31	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.22 / $19.95	Professional	26	$8.71	$11.22	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.12 / $47.86	Professional	TC	$19.50	$25.12	$47.86