Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $57.09 / $107.22	Professional		$44.68	$57.09	$107.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $27.73 / $84.15	Professional	26	$18.30	$27.73	$84.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.38 / $33.59 / $73.30	Professional	TC	$26.38	$33.59	$73.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $32.93 / $50.08	Professional	26	$12.67	$32.93	$50.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $57.10 / $151.60	Professional		$29.66	$57.10	$151.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $27.64 / $63.68	Professional	26	$11.95	$27.64	$63.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $22.13 / $79.13	Professional	TC	$17.71	$22.13	$79.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $47.82 / $211.02	Professional		$29.52	$47.82	$211.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $26.00 / $71.31	Professional	26	$13.32	$26.00	$71.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $25.66 / $139.82	Professional	TC	$15.04	$25.66	$139.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $116.88 / $524.67	Professional		$69.81	$116.88	$524.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.60 / $39.50 / $214.93	Professional	26	$23.60	$39.50	$214.93
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $46.22 / $77.38 / $309.82	Professional	TC	$46.22	$77.38	$309.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $72.03 / $133.97	Professional		$29.13	$72.03	$133.97
United Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $69.65 / $170.61	Professional		$41.48	$69.65	$170.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.97 / $29.23 / $60.58	Professional	26	$16.97	$29.23	$60.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $40.34 / $101.90	Professional	TC	$23.32	$40.34	$101.90