Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $56.77 / $80.09	Professional		$47.68	$56.77	$80.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $23.82 / $62.84	Professional	26	$17.14	$23.82	$62.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $35.13 / $51.32	Professional	TC	$16.89	$35.13	$51.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Professional		$37.57	$37.57	$37.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $53.65 / $157.88	Professional		$29.66	$53.65	$157.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $24.28 / $58.69	Professional	26	$10.94	$24.28	$58.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $23.40 / $87.38	Professional	TC	$18.72	$23.40	$87.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $43.00 / $219.77	Professional		$25.49	$43.00	$219.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $23.78 / $66.04	Professional	26	$12.03	$23.78	$66.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.14 / $27.42 / $153.74	Professional	TC	$12.14	$27.42	$153.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $121.73 / $560.05	Professional		$72.72	$121.73	$560.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.85 / $36.58 / $201.26	Professional	26	$21.85	$36.58	$201.26
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $50.87 / $70.20 / $358.71	Professional	TC	$50.87	$70.20	$358.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $76.40 / $136.52	Professional		$25.49	$76.40	$136.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $72.43 / $173.17	Professional		$41.95	$72.43	$173.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.67 / $27.05 / $55.82	Professional	26	$15.67	$27.05	$55.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.68 / $43.85 / $114.35	Professional	TC	$24.68	$43.85	$114.35