Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.15 / $75.64 / $131.47	Facility	26	$34.15	$75.64	$131.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $73.26 / $140.85	Professional		$56.69	$73.26	$140.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $39.95 / $75.28	Professional	26	$33.97	$39.95	$75.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $34.04 / $68.11	Professional	TC	$22.57	$34.04	$68.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $82.81 / $164.10	Professional		$63.70	$82.81	$164.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $50.03 / $63.83	Professional	26	$38.27	$50.03	$63.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $102.30 / $173.70	Professional		$61.74	$102.30	$173.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.94 / $61.92 / $112.47	Professional	26	$30.94	$61.92	$112.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.94 / $39.11 / $86.57	Professional	TC	$24.94	$39.11	$86.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $95.78 / $197.60	Professional		$66.25	$95.78	$197.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $61.84 / $115.41	Professional	26	$38.59	$61.84	$115.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $34.32 / $98.57	Professional	TC	$22.13	$34.32	$98.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $89.19 / $282.00	Professional		$61.75	$89.19	$282.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.94 / $44.69 / $186.12	Professional	26	$30.94	$44.69	$186.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.81 / $44.50 / $95.88	Professional	TC	$30.81	$44.50	$95.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $71.86 / $143.40	Professional		$54.37	$71.86	$143.40
United Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $85.57 / $146.84	Professional		$63.15	$85.57	$146.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.44 / $50.79 / $87.23	Professional	26	$37.44	$50.79	$87.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $31.19 / $54.74	Professional	TC	$22.13	$31.19	$54.74