Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.93 / $25.22 / $53.63	Facility	26	$13.93	$25.22	$53.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $43.40 / $74.34	Professional		$25.45	$43.40	$74.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $15.36 / $30.26	Professional	26	$13.09	$15.36	$30.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.36 / $28.05 / $50.64	Professional	TC	$12.36	$28.05	$50.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $51.06	Professional		$51.06	$51.06	$51.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.68 / $25.88 / $32.88	Professional	26	$24.68	$25.88	$32.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $50.37 / $107.38	Professional		$31.61	$50.37	$107.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.54 / $23.00 / $38.32	Professional	26	$12.54	$23.00	$38.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $28.90 / $73.09	Professional	TC	$16.45	$28.90	$73.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $47.98 / $123.86	Professional		$31.39	$47.98	$123.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.60 / $21.53 / $41.44	Professional	26	$15.60	$21.53	$41.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.09 / $23.46 / $83.71	Professional	TC	$14.09	$23.46	$83.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $55.91 / $233.00	Professional		$38.71	$55.91	$233.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $18.12 / $128.15	Professional	26	$12.55	$18.12	$128.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $37.79 / $104.85	Professional	TC	$26.16	$37.79	$104.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $52.37 / $89.88	Professional		$23.78	$52.37	$89.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $42.77 / $76.04	Professional		$28.17	$42.77	$76.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $19.30 / $31.04	Professional	26	$14.61	$19.30	$31.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $25.21 / $47.90	Professional	TC	$12.88	$25.21	$47.90