Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.01 / $35.75 / $73.19	Facility	26	$19.01	$35.75	$73.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $55.95 / $108.00	Professional		$38.36	$55.95	$108.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $21.73 / $41.14	Professional	26	$18.80	$21.73	$41.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $33.10 / $66.39	Professional	TC	$18.23	$33.10	$66.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $56.58 / $66.42	Professional		$49.20	$56.58	$66.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $28.26 / $30.50	Professional	26	$18.84	$28.26	$30.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $68.68 / $134.41	Professional		$41.22	$68.68	$134.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $33.95 / $58.29	Professional	26	$17.48	$33.95	$58.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $38.11 / $85.78	Professional	TC	$23.85	$38.11	$85.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $65.12 / $154.54	Professional		$42.25	$65.12	$154.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.86 / $32.33 / $61.86	Professional	26	$21.86	$32.33	$61.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $31.08 / $98.57	Professional	TC	$20.14	$31.08	$98.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $69.76 / $174.00	Professional		$48.29	$69.76	$174.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $25.26 / $97.44	Professional	26	$17.48	$25.26	$97.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.81 / $44.50 / $77.76	Professional	TC	$30.81	$44.50	$77.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $66.30 / $112.15	Professional		$33.20	$66.30	$112.15
United Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $59.90 / $96.06	Professional		$41.54	$59.90	$96.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.56 / $28.15 / $43.85	Professional	26	$20.56	$28.15	$43.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.59 / $28.51 / $64.78	Professional	TC	$18.59	$28.51	$64.78