Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $29.54 / $58.23	Professional		$24.38	$29.54	$58.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $25.03 / $37.01	Professional	26	$19.89	$25.03	$37.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.04 / $14.64 / $20.86	Professional	52	$12.04	$14.64	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $4.18 / $8.25	Professional	TC	$2.75	$4.18	$8.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $43.71	Professional		$43.71	$43.71	$43.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $36.03 / $69.39	Professional		$21.15	$36.03	$69.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $27.26 / $49.52	Professional	26	$17.94	$27.26	$49.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.00 / $4.88 / $36.76	Professional	TC	$3.00	$4.88	$36.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $44.72 / $76.41	Professional		$22.78	$44.72	$76.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $28.98 / $65.58	Professional	26	$17.95	$28.98	$65.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.97 / $6.21 / $30.70	Professional	TC	$2.97	$6.21	$30.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $30.66 / $119.29	Professional		$22.30	$30.66	$119.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $26.35 / $85.41	Professional	26	$19.16	$26.35	$85.41
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $18.67 / $18.67 / $18.67	Professional	52	$18.67	$18.67	$18.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $3.13 / $4.30 / $119.29	Professional	TC	$3.13	$4.30	$119.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $24.68 / $48.27	Professional		$3.91	$24.68	$48.27
United Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $33.35 / $74.48	Professional		$24.23	$33.35	$74.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $24.68 / $45.33	Professional	26	$16.55	$24.68	$45.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.25 / $4.48 / $45.03	Professional	TC	$3.25	$4.48	$45.03