Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $51.29	Professional		$20.89	$25.12	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $25.70	Professional	26	$18.20	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	26	$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $67.61	Professional		$24.55	$39.81	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.92 / $38.02	Professional	26	$18.62	$26.92	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $6.61 / $40.74	Professional	TC	$3.80	$6.61	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $69.18	Professional		$19.05	$34.67	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.12 / $52.48	Professional	26	$16.60	$25.12	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $6.03 / $27.54	Professional	TC	$2.63	$6.03	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $117.49	Professional		$19.95	$27.54	$117.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $22.91 / $83.18	Professional	26	$16.60	$22.91	$83.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $4.90 / $117.49	Professional	TC	$3.55	$4.90	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $23.99 / $50.12	Professional		$4.68	$23.99	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $72.44	Professional		$20.89	$29.51	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.38 / $34.67	Professional	26	$16.98	$21.38	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $4.79 / $39.81	Professional	TC	$3.39	$4.79	$39.81