Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.79 / $35.19 / $64.64	Facility	26	$16.79	$35.19	$64.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $49.27 / $88.15	Professional		$36.57	$49.27	$88.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $19.60 / $35.19	Professional	26	$16.66	$19.60	$35.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $29.13 / $57.56	Professional	TC	$16.44	$29.13	$57.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $49.09 / $69.00	Professional		$42.69	$49.09	$69.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $21.23 / $24.50	Professional	26	$18.78	$21.23	$24.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $61.54 / $117.55	Professional		$38.85	$61.54	$117.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $30.44 / $56.24	Professional	26	$15.16	$30.44	$56.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $33.18 / $74.67	Professional	TC	$21.47	$33.18	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $58.32 / $134.09	Professional		$39.79	$58.32	$134.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $30.99 / $57.88	Professional	26	$18.94	$30.99	$57.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $27.81 / $85.57	Professional	TC	$17.46	$27.81	$85.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $60.53 / $178.00	Professional		$41.90	$60.53	$178.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $21.91 / $105.02	Professional	26	$15.17	$21.91	$105.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $38.61 / $72.98	Professional	TC	$26.74	$38.61	$72.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $57.87 / $97.31	Professional		$28.78	$57.87	$97.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $55.21 / $92.62	Professional		$38.31	$55.21	$92.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.52 / $26.77 / $45.04	Professional	26	$18.52	$26.77	$45.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.17 / $46.39	Professional	TC	$16.60	$25.17	$46.39