Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $26.42 / $105.48	Professional		$19.45	$26.42	$105.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $32.46 / $115.84	Professional	26	$16.04	$32.46	$115.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.86 / $5.98 / $14.36	Professional	TC	$4.86	$5.98	$14.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $22.72 / $71.40	Professional	26	$9.83	$22.72	$71.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $21.63 / $59.41	Professional		$12.53	$21.63	$59.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $16.78 / $44.19	Professional	26	$9.36	$16.78	$44.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.17 / $3.67 / $14.24	Professional	TC	$3.17	$3.67	$14.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $20.39 / $32.96	Professional		$7.75	$20.39	$32.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $27.95 / $78.87	Professional		$14.39	$27.95	$78.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $20.28 / $52.63	Professional	26	$10.67	$20.28	$52.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.23 / $4.44 / $21.63	Professional	TC	$3.23	$4.44	$21.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $43.38 / $228.44	Professional		$25.91	$43.38	$228.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $30.73 / $171.35	Professional	26	$18.36	$30.73	$171.35
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $7.54 / $12.63 / $57.09	Professional	TC	$7.54	$12.63	$57.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $27.32 / $49.66	Professional		$8.81	$27.32	$49.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $30.89 / $64.81	Professional		$17.80	$30.89	$64.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $23.10 / $47.54	Professional	26	$13.70	$23.10	$47.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.30 / $7.22 / $18.87	Professional	TC	$4.30	$7.22	$18.87