Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.63 / $12.30 / $25.53	Facility	26	$6.63	$12.30	$25.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $32.90 / $89.92	Professional		$24.70	$32.90	$89.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.79 / $26.23	Professional	26	$6.46	$7.79	$26.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.67 / $51.94	Professional	TC	$17.78	$21.67	$51.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $45.69 / $57.18	Professional		$40.44	$45.69	$57.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $13.05 / $16.10	Professional	26	$8.96	$13.05	$16.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $44.44 / $86.19	Professional		$23.94	$44.44	$86.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $11.85 / $22.74	Professional	26	$6.77	$11.85	$22.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.09 / $32.26 / $69.09	Professional	TC	$17.09	$32.26	$69.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $17.39 / $33.47	Professional		$7.03	$17.39	$33.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $45.33 / $91.81	Professional		$28.21	$45.33	$91.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $11.65 / $21.74	Professional	26	$8.11	$11.65	$21.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.44 / $33.19 / $68.37	Professional	TC	$20.44	$33.19	$68.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $35.88 / $116.21	Professional		$26.31	$35.88	$116.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $10.25 / $35.10	Professional	26	$7.51	$10.25	$35.10
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $25.64 / $116.21	Professional	TC	$18.80	$25.64	$116.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $29.74 / $47.84	Professional		$11.19	$29.74	$47.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $41.88 / $79.31	Professional		$26.10	$41.88	$79.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $10.60 / $19.57	Professional	26	$7.54	$10.60	$19.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $31.18 / $61.90	Professional	TC	$18.72	$31.18	$61.90