Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.30 / $32.50 / $72.80	Facility	26	$14.30	$32.50	$72.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $41.10 / $107.62	Professional		$34.72	$41.10	$107.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $15.58 / $45.10	Professional	26	$13.15	$15.58	$45.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $26.27 / $69.26	Professional	TC	$21.58	$26.27	$69.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $65.09 / $65.09	Professional	26	$65.09	$65.09	$65.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $56.24 / $115.04	Professional		$39.58	$56.24	$115.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $20.41 / $40.86	Professional	26	$14.46	$20.41	$40.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.33 / $34.29 / $74.34	Professional	TC	$23.33	$34.29	$74.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $65.84 / $120.64	Professional		$39.50	$65.84	$120.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $25.39 / $44.45	Professional	26	$14.42	$25.39	$44.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.55 / $41.85 / $81.92	Professional	TC	$23.55	$41.85	$81.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $78.89 / $165.43	Professional		$49.49	$78.89	$165.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $27.92 / $58.52	Professional	26	$17.51	$27.92	$58.52
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $50.98 / $141.36	Professional	TC	$31.98	$50.98	$141.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $44.51 / $88.70	Professional		$23.25	$44.51	$88.70
United Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $56.02 / $99.34	Professional		$41.20	$56.02	$99.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $19.89 / $35.36	Professional	26	$14.78	$19.89	$35.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.45 / $35.90 / $63.72	Professional	TC	$25.45	$35.90	$63.72