Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $93.33 / $204.17	Facility	26	$38.90	$93.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $154.88	Professional		$47.86	$64.57	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $158.49	Professional	26	$33.88	$44.67	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.05 / $34.67	Professional	TC	$12.88	$19.05	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $77.62	Professional	26	$38.02	$47.86	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $131.83	Professional		$58.88	$79.43	$131.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $91.20	Professional	26	$42.66	$56.23	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $38.90	Professional	TC	$17.78	$23.99	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $169.82	Professional		$63.10	$102.33	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $74.13 / $120.23	Professional	26	$43.65	$74.13	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.20 / $50.12	Professional	TC	$18.62	$30.20	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $173.78	Professional		$72.44	$85.11	$173.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $100.00	Professional	26	$51.29	$60.26	$100.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.70 / $154.88	Professional	TC	$21.88	$25.70	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $104.71	Professional		$26.92	$64.57	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $162.18	Professional		$58.88	$77.62	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $114.82	Professional	26	$39.81	$54.95	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.44 / $48.98	Professional	TC	$18.20	$23.44	$48.98