Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $6.76 / $15.85	Facility	26	$3.02	$6.76	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $46.77	Professional		$12.88	$19.95	$46.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.39 / $8.91	Professional	26	$2.00	$3.39	$8.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.49 / $30.20	Professional	TC	$10.96	$13.49	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $14.45	Professional		$11.75	$13.49	$14.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $2.69 / $3.16	Professional	26	$2.63	$2.69	$3.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $42.66	Professional		$17.78	$33.11	$42.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.72 / $8.13 / $10.96	Professional	26	$3.72	$8.13	$10.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $25.12 / $33.11	Professional	TC	$13.49	$25.12	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $43.65	Professional		$19.05	$29.51	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $6.61 / $10.00	Professional	26	$3.63	$6.61	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $23.44 / $33.88	Professional	TC	$15.14	$23.44	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $70.79	Professional		$15.85	$19.95	$70.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $3.31 / $20.42	Professional	26	$2.63	$3.31	$20.42
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $16.60 / $70.79	Professional	TC	$13.18	$16.60	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $19.50 / $33.11	Professional		$4.27	$19.50	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $42.66	Professional		$19.05	$26.30	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $5.75 / $9.12	Professional	26	$3.98	$5.75	$9.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.42 / $33.88	Professional	TC	$15.14	$20.42	$33.88