Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $21.88 / $38.02	Facility	26	$7.24	$21.88	$38.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $53.70 / $91.20	Facility	TC	$18.20	$53.70	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $74.13	Professional		$19.05	$28.18	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $37.15	Professional	26	$6.03	$8.91	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.95 / $47.86	Professional	TC	$15.14	$19.95	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $41.69	Professional		$19.95	$25.70	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.51 / $14.45	Professional	26	$7.24	$8.51	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $53.70	Professional		$25.70	$33.11	$53.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.23 / $16.22	Professional	26	$8.13	$10.23	$16.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $38.02	Professional	TC	$17.78	$23.99	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $70.79	Professional		$23.99	$38.90	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $21.38	Professional	26	$7.08	$12.02	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $27.54 / $51.29	Professional	TC	$17.38	$27.54	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $162.18	Professional		$30.20	$38.90	$162.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.47 / $50.12	Professional	26	$8.13	$10.47	$50.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $112.20	Professional	TC	$21.88	$28.18	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $23.99 / $50.12	Professional		$8.32	$23.99	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $61.66	Professional		$26.92	$33.88	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.00 / $17.78	Professional	26	$7.76	$10.00	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.44 / $44.67	Professional	TC	$19.05	$23.44	$44.67