Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.83 / $12.10 / $37.85	Facility	26	$9.83	$12.10	$37.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $11.12 / $26.08	Professional	26	$9.16	$11.12	$26.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.41 / $15.41 / $40.36	Professional	TC	$13.41	$15.41	$40.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $37.29 / $45.23	Professional	26	$19.53	$37.29	$45.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.36 / $41.36 / $41.36	Professional	TC	$41.36	$41.36	$41.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $23.97 / $47.91	Professional	26	$17.97	$23.97	$47.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $35.29 / $70.55	Professional	TC	$26.47	$35.29	$70.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.86 / $36.07 / $64.64	Professional	26	$25.86	$36.07	$64.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.29 / $51.17 / $86.98	Professional	TC	$36.29	$51.17	$86.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $29.86 / $35.52	Professional	26	$21.31	$29.86	$35.52
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $41.46 / $51.83	Professional	TC	$31.10	$41.46	$51.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $52.73 / $72.75	Professional	26	$27.95	$52.73	$72.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.34 / $76.92 / $107.11	Professional	TC	$41.34	$76.92	$107.11