Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.00 / $33.02 / $35.68	Facility	26	$7.00	$33.02	$35.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.11 / $50.16 / $92.33	Facility	TC	$18.11	$50.16	$92.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $26.85 / $79.77	Professional		$21.64	$26.85	$79.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $7.96 / $21.90	Professional	26	$6.51	$7.96	$21.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $18.80 / $46.71	Professional	TC	$15.39	$18.80	$46.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $35.34	Professional		$22.17	$22.17	$35.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $11.31 / $14.48	Professional	26	$7.51	$11.31	$14.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $34.11 / $68.98	Professional		$25.71	$34.11	$68.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $10.38 / $19.07	Professional	26	$7.73	$10.38	$19.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $23.87 / $49.98	Professional	TC	$17.75	$23.87	$49.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $43.47 / $76.83	Professional		$26.88	$43.47	$76.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $12.87 / $21.99	Professional	26	$8.19	$12.87	$21.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $29.85 / $54.04	Professional	TC	$18.44	$29.85	$54.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $50.50 / $238.00	Professional		$31.68	$50.50	$238.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $13.68 / $68.72	Professional	26	$8.58	$13.68	$68.72
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $36.83 / $164.22	Professional	TC	$23.10	$36.83	$164.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $30.01 / $53.28	Professional		$11.13	$30.01	$53.28
United Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $35.51 / $62.96	Professional		$26.88	$35.51	$62.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $10.85 / $19.00	Professional	26	$7.98	$10.85	$19.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $25.12 / $45.80	Professional	TC	$18.79	$25.12	$45.80