Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $30.90 / $70.79	Facility	26	$12.88	$30.90	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $117.49	Professional		$30.20	$45.71	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $38.90	Professional	26	$12.02	$16.98	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $63.10	Professional	TC	$18.20	$26.92	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $39.81	Professional		$33.88	$38.90	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $19.05 / $28.18	Professional	26	$3.16	$19.05	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $114.82	Professional		$43.65	$70.79	$114.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.89 / $34.67	Professional	26	$15.14	$20.89	$34.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $45.71 / $87.10	Professional	TC	$24.55	$45.71	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $131.83	Professional		$33.11	$69.18	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $22.91 / $38.90	Professional	26	$14.13	$22.91	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $47.86 / $97.72	Professional	TC	$21.38	$47.86	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $177.83	Professional		$42.66	$54.95	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.42 / $58.88	Professional	26	$15.14	$20.42	$58.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $35.48 / $154.88	Professional	TC	$26.92	$35.48	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $72.44	Professional		$15.85	$33.88	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $107.15	Professional		$38.02	$58.88	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $18.20 / $33.11	Professional	26	$14.45	$18.20	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.02 / $77.62	Professional	TC	$21.88	$38.02	$77.62