Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.74 / $43.38 / $91.40	Facility	26	$23.74	$43.38	$91.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $60.57 / $116.04	Professional		$41.03	$60.57	$116.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.54 / $26.32 / $47.56	Professional	26	$23.54	$26.32	$47.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $31.39 / $63.87	Professional	TC	$17.87	$31.39	$63.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $105.71 / $105.71	Professional		$105.71	$105.71	$105.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $43.18 / $44.56	Professional	26	$30.24	$43.18	$44.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $75.28 / $144.19	Professional		$43.96	$75.28	$144.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $42.01 / $71.12	Professional	26	$21.60	$42.01	$71.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $37.06 / $83.40	Professional	TC	$23.45	$37.06	$83.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $71.22 / $163.98	Professional		$46.86	$71.22	$163.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $39.61 / $74.95	Professional	26	$26.93	$39.61	$74.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $30.30 / $94.86	Professional	TC	$19.63	$30.30	$94.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $74.02 / $197.00	Professional		$51.25	$74.02	$197.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $31.20 / $120.17	Professional	26	$21.60	$31.20	$120.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.65 / $42.82 / $76.83	Professional	TC	$29.65	$42.82	$76.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $64.79 / $119.00	Professional		$41.46	$64.79	$119.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $65.73 / $106.98	Professional		$45.86	$65.73	$106.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $35.19 / $53.44	Professional	26	$25.70	$35.19	$53.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $27.79 / $55.85	Professional	TC	$17.98	$27.79	$55.85