Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.11 / $42.72 / $93.61	Facility	26	$18.11	$42.72	$93.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $60.51 / $165.71	Professional		$48.69	$60.51	$165.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $20.10 / $62.95	Professional	26	$16.92	$20.10	$62.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.77 / $39.82 / $106.33	Professional	TC	$31.77	$39.82	$106.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $29.30 / $41.04	Professional	26	$19.48	$29.30	$41.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $81.12 / $158.72	Professional		$57.64	$81.12	$158.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $28.13 / $56.17	Professional	26	$19.96	$28.13	$56.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.85 / $53.32 / $104.22	Professional	TC	$37.85	$53.32	$104.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $23.92	Facility	26	$23.92	$23.92	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $101.09 / $176.10	Professional		$60.48	$101.09	$176.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $34.84 / $57.76	Professional	26	$21.03	$34.84	$57.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.99 / $66.64 / $119.75	Professional	TC	$39.99	$66.64	$119.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $111.14 / $233.04	Professional		$69.72	$111.14	$233.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $35.28 / $79.92	Professional	26	$22.13	$35.28	$79.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $47.59 / $75.86 / $180.42	Professional	TC	$47.59	$75.86	$180.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $65.31 / $159.80	Professional		$28.45	$65.31	$159.80
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $86.11 / $140.69	Professional		$57.75	$86.11	$140.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $28.02 / $47.00	Professional	26	$19.98	$28.02	$47.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.70 / $54.85 / $90.85	Professional	TC	$38.70	$54.85	$90.85