Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $50.71 / $117.43	Professional		$37.99	$50.71	$117.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $35.04 / $84.33	Professional	26	$25.25	$35.04	$84.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.74 / $16.18 / $36.44	Professional	TC	$12.74	$16.18	$36.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.16 / $44.16 / $44.16	Professional	26	$44.16	$44.16	$44.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $45.54 / $113.15	Professional		$24.10	$45.54	$113.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $34.94 / $78.61	Professional	26	$16.27	$34.94	$78.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.40 / $14.73 / $37.42	Professional	TC	$9.40	$14.73	$37.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $51.42 / $161.91	Professional		$26.40	$51.42	$161.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $34.00 / $96.63	Professional	26	$17.30	$34.00	$96.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.86 / $11.91 / $53.23	Professional	TC	$7.86	$11.91	$53.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $81.31 / $446.19	Professional		$48.57	$81.31	$446.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.74 / $53.14 / $296.62	Professional	26	$31.74	$53.14	$296.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $28.17 / $149.56	Professional	TC	$16.82	$28.17	$149.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $51.27 / $92.86	Professional		$19.66	$51.27	$92.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $57.68 / $121.54	Professional		$33.15	$57.68	$121.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $39.67 / $93.35	Professional	26	$23.17	$39.67	$93.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.75 / $18.01 / $42.07	Professional	TC	$10.75	$18.01	$42.07