Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $22.39 / $77.62	Facility	26	$19.05	$22.39	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $109.65	Professional		$39.81	$60.26	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $57.54	Professional	26	$19.05	$23.99	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $34.67 / $70.79	Professional	TC	$18.20	$34.67	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $87.10	Professional		$48.98	$64.57	$87.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $28.18 / $30.20	Professional	26	$13.49	$28.18	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $100.00	Professional		$43.65	$72.44	$100.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $40.74 / $54.95	Professional	26	$21.88	$40.74	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $57.54	Professional	TC	$20.42	$31.62	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $154.88	Professional		$44.67	$64.57	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.11 / $61.66	Professional	26	$23.44	$33.11	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $32.36 / $97.72	Professional	TC	$19.95	$32.36	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $213.80	Professional		$50.12	$72.44	$213.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.30 / $107.15	Professional	26	$18.20	$26.30	$107.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $134.90	Professional	TC	$32.36	$46.77	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $112.20	Professional		$40.74	$72.44	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $102.33	Professional		$40.74	$56.23	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $46.77	Professional	26	$19.95	$26.92	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $60.26	Professional	TC	$18.20	$28.84	$60.26