Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.46 / $3.95 / $10.44	Facility	26	$3.46	$3.95	$10.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $18.45 / $39.63	Professional		$14.25	$18.45	$39.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.74 / $3.95 / $8.40	Professional	26	$2.74	$3.95	$8.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $13.91 / $29.76	Professional	TC	$11.26	$13.91	$29.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $23.04 / $23.04	Professional		$13.46	$23.04	$23.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.52 / $2.69 / $3.32	Professional	26	$2.52	$2.69	$3.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $29.33 / $47.46	Professional		$14.56	$29.33	$47.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $6.72 / $10.97	Professional	26	$2.63	$6.72	$10.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.87 / $22.48 / $36.49	Professional	TC	$11.87	$22.48	$36.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $30.00 / $48.33	Professional		$19.17	$30.00	$48.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.66 / $6.94 / $10.59	Professional	26	$3.66	$6.94	$10.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $23.43 / $37.15	Professional	TC	$15.28	$23.43	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.98 / $70.34	Professional		$14.60	$18.98	$70.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $3.42 / $20.32	Professional	26	$2.63	$3.42	$20.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $11.97 / $15.56 / $70.34	Professional	TC	$11.97	$15.56	$70.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $14.06 / $24.26	Professional		$2.78	$14.06	$24.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $27.24 / $43.56	Professional		$19.32	$27.24	$43.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $6.03 / $9.44	Professional	26	$4.07	$6.03	$9.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $21.61 / $34.40	Professional	TC	$15.34	$21.61	$34.40