Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.62 / $25.80 / $52.44	Facility	26	$13.62	$25.80	$52.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.17 / $75.09	Professional		$43.65	$48.17	$75.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $15.08 / $24.45	Professional	26	$13.11	$15.08	$24.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $33.46 / $51.02	Professional	TC	$30.00	$33.46	$51.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $83.64 / $131.75	Professional		$36.09	$83.64	$131.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $24.34 / $41.54	Professional	26	$11.96	$24.34	$41.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $56.98 / $92.43	Professional	TC	$24.12	$56.98	$92.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $78.72 / $134.97	Professional		$48.89	$78.72	$134.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $23.15 / $43.46	Professional	26	$15.63	$23.15	$43.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.96 / $55.36 / $94.17	Professional	TC	$33.96	$55.36	$94.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $52.13 / $238.00	Professional		$36.09	$52.13	$238.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $17.28 / $66.64	Professional	26	$11.96	$17.28	$66.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $34.85 / $171.36	Professional	TC	$24.13	$34.85	$171.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $56.03 / $107.90	Professional		$23.35	$56.03	$107.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $67.52 / $114.09	Professional		$50.06	$67.52	$114.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $20.04 / $30.19	Professional	26	$14.75	$20.04	$30.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.45 / $48.23 / $76.88	Professional	TC	$34.45	$48.23	$76.88