Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.61 / $35.19 / $75.50	Facility	26	$19.61	$35.19	$75.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $50.68 / $90.74	Professional		$29.85	$50.68	$90.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $21.68 / $39.09	Professional	26	$18.94	$21.68	$39.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $29.00 / $57.94	Professional	TC	$10.31	$29.00	$57.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $21.13 / $28.82	Professional	26	$21.13	$21.13	$28.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $59.37 / $126.55	Professional		$36.90	$59.37	$126.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $33.14 / $53.55	Professional	26	$17.82	$33.14	$53.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.28 / $29.28 / $77.84	Professional	TC	$14.28	$29.28	$77.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $56.43 / $145.38	Professional		$37.36	$56.43	$145.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $30.77 / $63.87	Professional	26	$22.20	$30.77	$63.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.92 / $22.56 / $88.36	Professional	TC	$11.92	$22.56	$88.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $65.62 / $139.00	Professional		$45.43	$65.62	$139.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $25.74 / $91.74	Professional	26	$17.82	$25.74	$91.74
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.61 / $39.88 / $69.73	Professional	TC	$27.61	$39.88	$69.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $55.78 / $105.50	Professional		$33.85	$55.78	$105.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $50.78 / $86.92	Professional		$33.57	$50.78	$86.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.59 / $27.51 / $44.09	Professional	26	$20.59	$27.51	$44.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.92 / $25.28 / $49.79	Professional	TC	$10.92	$25.28	$49.79