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 $201.94 / $275.00 / $758.74	Professional		$201.94	$275.00	$758.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $58.71 / $147.66	Professional	26	$55.00	$58.71	$147.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $174.55 / $174.55	Professional		$159.07	$174.55	$174.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $71.15 / $71.15	Professional	26	$48.90	$71.15	$71.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $334.51 / $663.65	Professional		$196.29	$334.51	$663.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $78.29 / $160.65	Professional	26	$55.20	$78.29	$160.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.68 / $475.44 / $822.52	Professional		$251.68	$475.44	$822.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $104.29 / $168.87	Professional	26	$58.33	$104.29	$168.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $391.14 / $1,089.92	Professional		$215.13	$391.14	$1,089.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.91 / $101.88 / $222.61	Professional	26	$63.91	$101.88	$222.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $200.37 / $355.90	Professional		$82.99	$200.37	$355.90
United Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $395.43 / $694.16	Professional		$217.47	$395.43	$694.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.43 / $81.84 / $142.40	Professional	26	$58.43	$81.84	$142.40