Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $61.75 / $124.47	Professional		$48.41	$61.75	$124.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.09 / $37.15 / $72.23	Professional	26	$28.09	$37.15	$72.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $24.69 / $39.61	Professional	TC	$19.04	$24.69	$39.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $113.75 / $115.22	Professional		$113.75	$113.75	$115.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $71.26 / $119.39	Professional		$46.31	$71.26	$119.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.76 / $40.68 / $69.80	Professional	26	$26.76	$40.68	$69.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.76 / $30.56 / $51.21	Professional	TC	$18.76	$30.56	$51.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $35.82 / $61.34	Professional		$25.53	$35.82	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $70.65 / $134.71	Professional		$44.56	$70.65	$134.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $43.89 / $76.93	Professional	26	$27.05	$43.89	$76.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $29.82 / $57.79	Professional	TC	$17.96	$29.82	$57.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $67.93 / $98.80	Professional		$49.40	$67.93	$98.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.21 / $38.79 / $72.84	Professional	26	$28.21	$38.79	$72.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.19 / $29.14 / $79.45	Professional	TC	$21.19	$29.14	$79.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $55.58 / $117.73	Professional		$35.63	$55.58	$117.73
United Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $64.52 / $90.97	Professional		$50.10	$64.52	$90.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.94 / $38.59 / $54.80	Professional	26	$29.94	$38.59	$54.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $24.68 / $37.40	Professional	TC	$18.00	$24.68	$37.40