Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.48 / $46.42 / $138.19	Facility	26	$27.48	$46.42	$138.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $75.63 / $661.90	Professional		$50.05	$75.63	$661.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.48 / $94.17 / $684.00	Professional	26	$27.48	$94.17	$684.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $38.82 / $90.18	Professional	TC	$24.57	$38.82	$90.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $68.64 / $90.53	Professional		$59.46	$68.64	$90.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $51.93 / $59.62	Professional	26	$30.89	$51.93	$59.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $88.54 / $184.24	Professional		$60.88	$88.54	$184.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $40.14 / $83.02	Professional	26	$28.89	$40.14	$83.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.56 / $46.56 / $94.08	Professional	TC	$31.56	$46.56	$94.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $64.30 / $138.41	Professional		$32.11	$64.30	$138.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $121.13 / $200.00	Professional		$72.56	$121.13	$200.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.73 / $55.00 / $88.46	Professional	26	$30.73	$55.00	$88.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.33 / $60.21 / $104.10	Professional	TC	$34.33	$60.21	$104.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $114.63 / $225.19	Professional		$71.91	$114.63	$225.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.32 / $56.31 / $82.89	Professional	26	$35.32	$56.31	$82.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $58.32 / $225.19	Professional	TC	$36.59	$58.32	$225.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $58.81 / $120.93	Professional		$44.92	$58.81	$120.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $88.09 / $174.15	Professional		$67.31	$88.09	$174.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.19 / $40.25 / $74.45	Professional	26	$30.19	$40.25	$74.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $48.80 / $84.73	Professional	TC	$32.04	$48.80	$84.73