Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.30 / $15.61 / $27.61	Facility	26	$13.30	$15.61	$27.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $41.57 / $88.37	Professional		$34.69	$41.57	$88.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $14.81 / $32.88	Professional	26	$12.81	$14.81	$32.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $25.10 / $43.20	Professional	TC	$20.81	$25.10	$43.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $46.91 / $73.94	Professional		$34.72	$46.91	$73.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $19.88 / $26.60	Professional	26	$14.82	$19.88	$26.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $52.20 / $93.09	Professional		$34.06	$52.20	$93.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $21.17 / $34.74	Professional	26	$13.50	$21.17	$34.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $31.11 / $57.50	Professional	TC	$20.46	$31.11	$57.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $27.68 / $48.57	Professional		$13.83	$27.68	$48.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $52.84 / $94.50	Professional		$37.42	$52.84	$94.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $20.30 / $35.13	Professional	26	$14.50	$20.30	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $31.86 / $58.38	Professional	TC	$22.25	$31.86	$58.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $49.21 / $96.33	Professional		$37.85	$49.21	$96.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $17.71 / $35.69	Professional	26	$13.62	$17.71	$35.69
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $31.50 / $77.31	Professional	TC	$24.23	$31.50	$77.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $31.27 / $60.56	Professional		$14.52	$31.27	$60.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $47.31 / $75.70	Professional		$33.69	$47.31	$75.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.28 / $18.64 / $30.16	Professional	26	$13.28	$18.64	$30.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.86 / $28.93 / $47.00	Professional	TC	$20.86	$28.93	$47.00