Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.08 / $11.08 / $19.96	Facility	26	$11.08	$11.08	$19.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $44.37 / $89.91	Professional		$37.04	$44.37	$89.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $12.36 / $24.11	Professional	26	$10.70	$12.36	$24.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.34 / $31.35 / $61.52	Professional	TC	$26.34	$31.35	$61.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $59.55 / $77.26	Professional		$44.20	$59.55	$77.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $15.82 / $21.07	Professional	26	$11.06	$15.82	$21.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $62.92 / $104.38	Professional		$40.45	$62.92	$104.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $17.64 / $29.65	Professional	26	$11.26	$17.64	$29.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.06 / $45.28 / $76.15	Professional	TC	$29.06	$45.28	$76.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $35.61 / $55.48	Professional		$11.50	$35.61	$55.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $59.69 / $106.83	Professional		$43.53	$59.69	$106.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $17.23 / $30.89	Professional	26	$12.53	$17.23	$30.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $42.15 / $75.70	Professional	TC	$31.10	$42.15	$75.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.75 / $133.00	Professional		$43.65	$56.75	$133.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $14.76 / $38.57	Professional	26	$11.35	$14.76	$38.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.29 / $41.98 / $94.43	Professional	TC	$32.29	$41.98	$94.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $40.10 / $69.84	Professional		$12.17	$40.10	$69.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $56.46 / $100.72	Professional		$39.36	$56.46	$100.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $15.99 / $25.14	Professional	26	$11.36	$15.99	$25.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.42 / $39.00 / $65.87	Professional	TC	$27.42	$39.00	$65.87