Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.01 / $80.01 / $179.80	Facility	26	$35.01	$80.01	$179.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $93.78 / $210.98	Professional		$81.58	$93.78	$210.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $36.35 / $87.09	Professional	26	$32.31	$36.35	$87.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $137.40 / $274.58	Professional		$92.34	$137.40	$274.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.47 / $54.14 / $107.98	Professional	26	$37.47	$54.14	$107.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $157.63 / $272.24	Professional		$94.51	$157.63	$272.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.39 / $64.43 / $110.76	Professional	26	$39.39	$64.43	$110.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $189.90 / $398.19	Professional		$119.12	$189.90	$398.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.57 / $71.06 / $148.99	Professional	26	$44.57	$71.06	$148.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $204.40 / $281.50	Professional		$170.80	$204.40	$281.50
United Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $129.49 / $239.51	Professional		$95.69	$129.49	$239.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $52.06 / $93.27	Professional	26	$38.40	$52.06	$93.27