Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.10 / $16.64 / $56.49	Facility	26	$11.10	$16.64	$56.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.42 / $78.75 / $211.57	Facility	TC	$25.42	$78.75	$211.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $41.39 / $103.90	Professional		$34.49	$41.39	$103.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $13.31 / $35.64	Professional	26	$10.86	$13.31	$35.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $26.40 / $64.78	Professional	TC	$23.17	$26.40	$64.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $70.06 / $70.06	Professional		$70.06	$70.06	$70.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $20.91 / $23.53	Professional	26	$10.36	$20.91	$23.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $48.14 / $100.50	Professional		$36.29	$48.14	$100.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $16.88 / $29.69	Professional	26	$11.96	$16.88	$29.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $33.90 / $70.81	Professional	TC	$23.29	$33.90	$70.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $60.00 / $109.93	Professional		$38.15	$60.00	$109.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $20.90 / $35.70	Professional	26	$13.30	$20.90	$35.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.49 / $40.32 / $75.37	Professional	TC	$24.49	$40.32	$75.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $72.58 / $358.28	Professional		$45.53	$72.58	$358.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $17.73 / $45.31	Professional	26	$13.55	$17.73	$45.31
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $41.86 / $106.87	Professional	TC	$31.98	$41.86	$106.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $42.86 / $74.50	Professional		$16.88	$42.86	$74.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $49.99 / $90.83	Professional		$37.94	$49.99	$90.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $17.61 / $29.22	Professional	26	$12.91	$17.61	$29.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $34.14 / $60.99	Professional	TC	$24.87	$34.14	$60.99