Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $48.29 / $95.00	Professional		$34.84	$48.29	$95.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.65 / $66.00 / $421.15	Professional	26	$22.65	$66.00	$421.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $18.39 / $26.81	Professional	TC	$9.88	$18.39	$26.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $24.62 / $25.02	Professional		$24.62	$24.62	$25.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $36.04 / $52.97	Professional	26	$13.96	$36.04	$52.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $40.85 / $120.99	Professional		$21.74	$40.85	$120.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $30.36 / $72.36	Professional	26	$13.10	$30.36	$72.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.64 / $10.35 / $39.59	Professional	TC	$8.64	$10.35	$39.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $43.89 / $144.24	Professional		$19.80	$43.89	$144.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $29.17 / $78.34	Professional	26	$14.30	$29.17	$78.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.59 / $12.11 / $65.90	Professional	TC	$4.59	$12.11	$65.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $79.89 / $429.55	Professional		$47.73	$79.89	$429.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $43.39 / $242.11	Professional	26	$25.92	$43.39	$242.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.81 / $31.92 / $187.44	Professional	TC	$21.81	$31.92	$187.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $46.23 / $91.24	Professional		$25.44	$46.23	$91.24
United Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $53.52 / $119.30	Professional		$31.31	$53.52	$119.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.95 / $32.46 / $66.20	Professional	26	$18.95	$32.46	$66.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.40 / $18.97 / $52.57	Professional	TC	$9.40	$18.97	$52.57