Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.86 / $29.41 / $66.87	Facility	26	$12.86	$29.41	$66.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $51.90 / $118.62	Professional		$33.03	$51.90	$118.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $15.11 / $37.29	Professional	26	$12.82	$15.11	$37.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $27.11 / $83.85	Professional	TC	$18.62	$27.11	$83.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $19.20 / $27.16	Professional	26	$11.16	$19.20	$27.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $64.15 / $116.92	Professional		$38.06	$64.15	$116.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $21.03 / $40.17	Professional	26	$14.51	$21.03	$40.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $41.07 / $82.84	Professional	TC	$22.16	$41.07	$82.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $77.97 / $139.33	Professional		$37.11	$77.97	$139.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $24.82 / $41.03	Professional	26	$14.84	$24.82	$41.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $50.16 / $107.41	Professional	TC	$23.27	$50.16	$107.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $79.20 / $202.96	Professional		$44.17	$79.20	$202.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $25.66 / $62.23	Professional	26	$16.09	$25.66	$62.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.07 / $51.04 / $159.69	Professional	TC	$28.07	$51.04	$159.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $37.95 / $72.01	Professional		$15.39	$37.95	$72.01
United Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $59.86 / $121.63	Professional		$37.51	$59.86	$121.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $19.98 / $34.60	Professional	26	$14.54	$19.98	$34.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $37.18 / $78.31	Professional	TC	$22.50	$37.18	$78.31