Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.62 / $29.03 / $65.45	Facility	26	$26.62	$29.03	$65.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $75.00 / $134.38	Professional		$42.62	$75.00	$134.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $54.00 / $81.97	Professional	26	$26.62	$54.00	$81.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $84.23 / $87.19	Professional		$69.33	$84.23	$87.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $51.74 / $101.50	Professional	26	$36.22	$51.74	$101.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $65.13 / $124.87	Professional		$48.37	$65.13	$124.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $43.11 / $77.75	Professional	26	$29.01	$43.11	$77.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $39.06 / $66.31	Professional		$23.41	$39.06	$66.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $79.31 / $125.83	Professional		$47.22	$79.31	$125.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.83 / $48.65 / $79.26	Professional	26	$30.83	$48.65	$79.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $62.88 / $106.52	Professional		$48.37	$62.88	$106.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.66 / $37.26 / $84.59	Professional	26	$28.66	$37.26	$84.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $54.83 / $93.36	Professional		$35.18	$54.83	$93.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $66.20 / $106.27	Professional		$48.33	$66.20	$106.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.28 / $42.66 / $65.64	Professional	26	$30.28	$42.66	$65.64