Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $8.32 / $16.22	Facility	26	$7.59	$8.32	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $93.33	Professional		$25.12	$44.67	$93.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.96 / $64.57 / $70.79	Professional	25	$10.96	$64.57	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $28.18	Professional	26	$7.08	$10.00	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $45.71	Professional	TC	$16.98	$25.70	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $47.86	Professional		$20.89	$27.54	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $14.79	Professional	26	$7.24	$9.33	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $79.43	Professional		$30.90	$50.12	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.88 / $19.50	Professional	26	$8.51	$12.88	$19.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $37.15 / $56.23	Professional	TC	$21.38	$37.15	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $21.38 / $33.88	Professional		$7.76	$21.38	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $69.18	Professional		$32.36	$46.77	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $20.42	Professional	26	$8.51	$11.48	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.88 / $51.29	Professional	TC	$22.39	$33.88	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $79.43	Professional		$28.84	$36.31	$79.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.23 / $30.90	Professional	26	$8.13	$10.23	$30.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.30 / $74.13	Professional	TC	$20.89	$26.30	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.90 / $58.88	Professional		$12.88	$30.90	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $67.61	Professional		$30.20	$39.81	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $16.98	Professional	26	$7.59	$10.00	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $50.12	Professional	TC	$22.39	$30.20	$50.12