Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $120.13 / $267.47	Facility	26	$55.00	$120.13	$267.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.26 / $275.00 / $673.42	Professional		$201.26	$275.00	$673.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $60.57 / $144.12	Professional	26	$55.00	$60.57	$144.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $55.96 / $75.76	Professional	26	$48.65	$55.96	$75.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $334.51 / $663.65	Professional		$198.42	$334.51	$663.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.17 / $77.86 / $160.65	Professional	26	$55.17	$77.86	$160.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.71 / $473.58 / $822.52	Professional		$250.71	$473.58	$822.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $101.43 / $168.87	Professional	26	$58.33	$101.43	$168.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $386.62 / $1,087.06	Professional		$212.64	$386.62	$1,087.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.56 / $101.32 / $222.61	Professional	26	$63.56	$101.32	$222.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $199.80 / $355.90	Professional		$82.53	$199.80	$355.90
United Facility/Professional Professional Modifier Low / Median / High Price $221.81 / $384.63 / $697.41	Professional		$221.81	$384.63	$697.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.43 / $81.84 / $142.63	Professional	26	$58.43	$81.84	$142.63