Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.85 / $77.50 / $194.63	Facility	26	$38.85	$77.50	$194.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $60.87 / $167.73	Professional		$49.94	$60.87	$167.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.03 / $43.04 / $125.24	Professional	26	$36.03	$43.04	$125.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.73 / $18.03 / $42.99	Professional	TC	$13.73	$18.03	$42.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $36.81 / $64.97	Professional	26	$36.81	$36.81	$64.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $79.48 / $164.14	Professional		$56.45	$79.48	$164.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.27 / $56.06 / $116.92	Professional	26	$40.27	$56.06	$116.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $23.72 / $47.22	Professional	TC	$16.89	$23.72	$47.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $108.50 / $175.46	Professional		$60.59	$108.50	$175.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $76.31 / $126.66	Professional	26	$43.40	$76.31	$126.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.67 / $30.67 / $51.92	Professional	TC	$18.67	$30.67	$51.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $111.93 / $175.38	Professional		$70.20	$111.93	$175.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.59 / $79.05 / $100.18	Professional	26	$49.59	$79.05	$100.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.63 / $32.88 / $175.38	Professional	TC	$20.63	$32.88	$175.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $73.63 / $118.07	Professional		$27.92	$73.63	$118.07
United Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $78.41 / $157.56	Professional		$57.70	$78.41	$157.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.40 / $54.80 / $104.52	Professional	26	$40.40	$54.80	$104.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.61 / $44.27	Professional	TC	$17.89	$23.61	$44.27