Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $131.83	Professional		$38.02	$51.29	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $44.67 / $234.42	Professional	26	$26.92	$44.67	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $16.60 / $45.71	Professional	TC	$12.02	$16.60	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $43.65 / $165.96	Professional	26	$16.98	$43.65	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $53.70 / $112.20	Professional		$23.99	$53.70	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $37.15 / $75.86	Professional	26	$16.22	$37.15	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $16.22 / $37.15	Professional	TC	$9.33	$16.22	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $162.18	Professional		$26.92	$51.29	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.30 / $97.72	Professional	26	$17.38	$26.30	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $10.96 / $53.70	Professional	TC	$7.94	$10.96	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $446.68	Professional		$48.98	$81.28	$446.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $53.70 / $295.12	Professional	26	$31.62	$53.70	$295.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.84 / $147.91	Professional	TC	$16.98	$28.84	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $51.29 / $100.00	Professional		$19.05	$51.29	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $128.82	Professional		$33.11	$57.54	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $85.11	Professional	26	$22.91	$39.81	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $18.20 / $42.66	Professional	TC	$10.72	$18.20	$42.66