Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $44.67	Professional		$10.96	$20.42	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $8.32 / $21.88	Professional	26	$3.02	$8.32	$21.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $11.48 / $26.92	Professional	TC	$7.08	$11.48	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.13 / $28.18	Professional		$7.59	$8.13	$28.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $4.68 / $8.51	Professional	26	$2.04	$4.68	$8.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $38.02	Professional		$11.22	$22.39	$38.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $1.86 / $5.62 / $10.72	Professional	26	$1.86	$5.62	$10.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $15.49 / $28.84	Professional	TC	$9.55	$15.49	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $15.49 / $30.90	Facility		$5.89	$15.49	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $13.18 / $20.42	Professional		$4.90	$13.18	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.75 / $48.98	Professional		$7.76	$11.75	$48.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $4.17 / $12.59	Professional	26	$2.04	$4.17	$12.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.62 / $9.55 / $38.90	Professional	TC	$5.62	$9.55	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $123.03	Professional		$15.14	$25.12	$123.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $6.76 / $35.48	Professional	26	$3.98	$6.76	$35.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.62 / $87.10	Professional	TC	$10.96	$18.62	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $15.49 / $31.62	Professional		$4.79	$15.49	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $6.03 / $13.18	Facility		$2.51	$6.03	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $45.71	Professional		$9.55	$18.62	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $4.68 / $10.72	Professional	26	$2.69	$4.68	$10.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $12.30 / $33.88	Professional	TC	$6.76	$12.30	$33.88