Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.57 / $41.66 / $62.42	Facility	26	$12.57	$41.66	$62.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $51.24 / $151.66	Professional		$39.02	$51.24	$151.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $13.50 / $35.35	Professional	26	$11.71	$13.50	$35.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $35.08 / $79.87	Professional	TC	$27.30	$35.08	$79.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $40.49 / $40.49	Professional		$40.49	$40.49	$40.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $68.14 / $138.96	Professional		$51.31	$68.14	$138.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.45 / $36.75	Professional	26	$13.50	$17.45	$36.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.40 / $46.62 / $94.70	Professional	TC	$36.40	$46.62	$94.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $16.20	Facility	26	$16.20	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $82.66 / $143.80	Professional		$49.16	$82.66	$143.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $23.08 / $39.71	Professional	26	$14.69	$23.08	$39.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.17 / $60.53 / $105.97	Professional	TC	$38.17	$60.53	$105.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $91.89 / $438.70	Professional		$57.64	$91.89	$438.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $23.88 / $123.27	Professional	26	$14.98	$23.88	$123.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $68.00 / $315.33	Professional	TC	$42.66	$68.00	$315.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $56.46 / $96.94	Professional		$19.68	$56.46	$96.94
United Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $70.27 / $115.20	Professional		$47.90	$70.27	$115.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.97 / $32.29	Professional	26	$12.88	$18.97	$32.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.63 / $49.53 / $85.33	Professional	TC	$33.63	$49.53	$85.33