Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $32.36 / $60.26	Facility	26	$10.96	$32.36	$60.26
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $74.13 / $213.80	Facility	TC	$25.70	$74.13	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $117.49	Professional		$32.36	$44.67	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $58.88	Professional	26	$10.00	$16.98	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $64.57	Professional	TC	$20.89	$28.18	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $54.95	Professional		$33.88	$35.48	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.79 / $22.91	Professional	26	$10.00	$14.79	$22.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $38.90	Professional	TC	$21.88	$33.11	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $74.13	Professional		$36.31	$45.71	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.22 / $25.12	Professional	26	$12.88	$16.22	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $51.29	Professional	TC	$22.91	$30.90	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $102.33	Professional		$34.67	$56.23	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.50 / $34.67	Professional	26	$11.22	$19.50	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $70.79	Professional	TC	$23.99	$37.15	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $251.19	Professional		$42.66	$56.23	$251.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $32.36	Professional	26	$12.59	$16.22	$32.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $79.43	Professional	TC	$30.20	$37.15	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $38.90 / $67.61	Professional		$12.88	$38.90	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $89.13	Professional		$38.02	$47.86	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.85 / $28.84	Professional	26	$12.30	$15.85	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $31.62 / $60.26	Professional	TC	$25.12	$31.62	$60.26