Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $182.16 / $375.95	Facility	26	$85.00	$182.16	$375.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $425.00 / $1,168.75	Professional		$301.20	$425.00	$1,168.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $124.15 / $312.83	Professional	26	$85.00	$124.15	$312.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $143.37 / $149.00 / $378.31	Professional	26	$143.37	$149.00	$378.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.05 / $468.00 / $937.35	Professional		$270.05	$468.00	$937.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.53 / $118.09 / $232.56	Professional	26	$80.53	$118.09	$232.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $656.57 / $1,176.27	Professional		$305.45	$656.57	$1,176.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.82 / $146.59 / $250.95	Professional	26	$85.82	$146.59	$250.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.79 / $535.98 / $1,638.03	Professional		$294.79	$535.98	$1,638.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.61 / $142.85 / $313.60	Professional	26	$89.61	$142.85	$313.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $280.47 / $495.78	Professional		$117.30	$280.47	$495.78
United Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $524.21 / $967.44	Professional		$308.76	$524.21	$967.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.39 / $118.69 / $201.08	Professional	26	$83.39	$118.69	$201.08