Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $8.89 / $14.28	Facility	26	$7.58	$8.89	$14.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $37.15 / $69.76	Professional		$25.72	$37.15	$69.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $64.51 / $64.51	Professional	25	$37.15	$64.51	$64.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $8.72 / $18.94	Professional	26	$7.37	$8.72	$18.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $22.85 / $43.24	Professional	TC	$17.63	$22.85	$43.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $41.90 / $51.86	Professional		$24.22	$41.90	$51.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.31 / $14.48	Professional	26	$7.58	$12.31	$14.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $45.37 / $78.00	Professional		$26.33	$45.37	$78.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $12.11 / $20.34	Professional	26	$7.73	$12.11	$20.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $33.64 / $55.07	Professional	TC	$18.04	$33.64	$55.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $20.59 / $33.78	Professional		$7.82	$20.59	$33.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $46.30 / $72.20	Professional		$30.25	$46.30	$72.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $11.59 / $21.25	Professional	26	$8.34	$11.59	$21.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $34.14 / $51.12	Professional	TC	$22.34	$34.14	$51.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $34.52 / $85.55	Professional		$26.55	$34.52	$85.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $10.14 / $38.40	Professional	26	$7.80	$10.14	$38.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $24.00 / $74.98	Professional	TC	$18.75	$24.00	$74.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $23.89 / $43.50	Professional		$8.43	$23.89	$43.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $43.22 / $70.95	Professional		$30.97	$43.22	$70.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $10.63 / $17.23	Professional	26	$7.58	$10.63	$17.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $31.25 / $50.10	Professional	TC	$23.26	$31.25	$50.10