Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $33.47 / $68.70	Professional		$25.80	$33.47	$68.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $15.99 / $26.81	Professional	26	$12.28	$15.99	$26.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $16.57 / $29.64	Professional	TC	$12.92	$16.57	$29.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $48.48 / $55.42	Professional		$48.48	$48.48	$55.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $38.78 / $66.18	Professional		$24.57	$38.78	$66.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $17.57 / $31.14	Professional	26	$11.56	$17.57	$31.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $20.17 / $35.46	Professional	TC	$13.01	$20.17	$35.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $44.00 / $74.36	Professional		$24.56	$44.00	$74.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $21.47 / $33.22	Professional	26	$11.73	$21.47	$33.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.36 / $24.26 / $45.02	Professional	TC	$12.36	$24.26	$45.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $35.60 / $109.19	Professional		$25.89	$35.60	$109.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $16.75 / $34.65	Professional	26	$12.18	$16.75	$34.65
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $13.70 / $18.84 / $109.19	Professional	TC	$13.70	$18.84	$109.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $28.08 / $64.72	Professional		$21.21	$28.08	$64.72
United Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $37.65 / $65.76	Professional		$27.39	$37.65	$65.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $16.73 / $26.68	Professional	26	$13.27	$16.73	$26.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.89 / $18.89 / $37.61	Professional	TC	$13.89	$18.89	$37.61