Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.54 / $30.04 / $62.42	Facility	26	$12.54	$30.04	$62.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $82.72 / $164.55	Professional		$70.47	$82.72	$164.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $13.17 / $42.48	Professional	26	$11.64	$13.17	$42.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $112.94 / $237.92	Professional		$70.72	$112.94	$237.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.22 / $20.09 / $41.66	Professional	26	$14.22	$20.09	$41.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $121.22 / $243.74	Professional		$71.27	$121.22	$243.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $24.37 / $40.68	Professional	26	$14.25	$24.37	$40.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $157.80 / $365.79	Professional		$109.44	$157.80	$365.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $25.66 / $56.56	Professional	26	$16.09	$25.66	$56.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $111.20 / $189.40	Professional		$100.70	$111.20	$189.40
United Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $103.12 / $196.78	Professional		$73.22	$103.12	$196.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $19.73 / $32.76	Professional	26	$14.23	$19.73	$32.76