Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $45.76 / $93.08	Professional		$35.95	$45.76	$93.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $21.20 / $35.36	Professional	26	$15.93	$21.20	$35.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $24.54 / $44.59	Professional	TC	$19.14	$24.54	$44.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $68.30 / $128.65	Professional		$41.66	$68.30	$128.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $52.64 / $92.10	Professional		$34.61	$52.64	$92.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $22.80 / $40.39	Professional	26	$15.00	$22.80	$40.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $29.82 / $52.84	Professional	TC	$19.62	$29.82	$52.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $60.58 / $106.11	Professional		$34.44	$60.58	$106.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $27.32 / $43.75	Professional	26	$15.55	$27.32	$43.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $36.15 / $66.34	Professional	TC	$18.27	$36.15	$66.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $49.80 / $139.52	Professional		$36.22	$49.80	$139.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $21.73 / $47.99	Professional	26	$15.80	$21.73	$47.99
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.07 / $139.52	Professional	TC	$20.42	$28.07	$139.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $40.07 / $89.06	Professional		$27.55	$40.07	$89.06
United Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $53.20 / $87.10	Professional		$38.63	$53.20	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $22.26 / $34.51	Professional	26	$17.60	$22.26	$34.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $28.15 / $54.22	Professional	TC	$20.41	$28.15	$54.22