Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.71 / $14.97 / $66.87	Facility	26	$11.71	$14.97	$66.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $35.57 / $75.48	Professional		$17.50	$35.57	$75.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $15.66 / $47.00	Professional	26	$8.22	$15.66	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $21.64 / $48.28	Professional	TC	$11.48	$21.64	$48.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.14 / $27.94	Professional	26	$12.30	$19.14	$27.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $41.11 / $96.90	Professional		$20.27	$41.11	$96.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $15.15 / $35.24	Professional	26	$8.77	$15.15	$35.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.81 / $26.59 / $63.18	Professional	TC	$10.81	$26.59	$63.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $33.01 / $54.65	Professional		$15.31	$33.01	$54.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $36.26 / $102.31	Professional		$19.16	$36.26	$102.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.49 / $35.84	Professional	26	$8.32	$14.49	$35.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.94 / $20.30 / $66.47	Professional	TC	$9.94	$20.30	$66.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $57.90 / $153.56	Professional		$45.94	$57.90	$153.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $21.57 / $53.76	Professional	26	$16.09	$21.57	$53.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.60 / $35.27 / $99.78	Professional	TC	$29.60	$35.27	$99.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $39.45 / $77.63	Professional		$15.39	$39.45	$77.63
United Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $41.49 / $92.92	Professional		$21.52	$41.49	$92.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $15.63 / $31.36	Professional	26	$8.26	$15.63	$31.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.54 / $25.14 / $56.92	Professional	TC	$11.54	$25.14	$56.92