Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $25.37 / $46.18	Professional		$21.23	$25.37	$46.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $21.22 / $33.35	Professional	26	$16.79	$21.22	$33.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.22 / $8.93	Professional	TC	$3.02	$4.22	$8.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $38.13 / $38.13	Professional		$38.13	$38.13	$38.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $31.65 / $67.23	Professional		$18.45	$31.65	$67.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $23.35 / $44.39	Professional	26	$15.24	$23.35	$44.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.21 / $4.88 / $31.62	Professional	TC	$3.21	$4.88	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $42.37 / $68.94	Professional		$19.75	$42.37	$68.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $25.33 / $55.63	Professional	26	$16.54	$25.33	$55.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $6.95 / $27.63	Professional	TC	$3.02	$6.95	$27.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $26.74 / $117.80	Professional		$19.45	$26.74	$117.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $22.09 / $82.73	Professional	26	$16.05	$22.09	$82.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $3.38 / $4.65 / $117.78	Professional	TC	$3.38	$4.65	$117.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $21.53 / $42.85	Professional		$4.23	$21.53	$42.85
United Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $28.56 / $72.30	Professional		$20.77	$28.56	$72.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $21.64 / $38.27	Professional	26	$17.23	$21.64	$38.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.46 / $4.65 / $35.31	Professional	TC	$3.46	$4.65	$35.31