Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $186.21 / $398.11	Facility	26	$85.11	$186.21	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $870.96	Professional		$281.84	$426.58	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $346.74	Professional	26	$83.18	$125.89	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $134.90 / $380.19	Professional	26	$79.43	$134.90	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $933.25	Professional		$316.23	$524.81	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $120.23 / $194.98	Professional	26	$87.10	$120.23	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $1,096.48	Professional		$302.00	$616.60	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $134.90 / $229.09	Professional	26	$79.43	$134.90	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $1,621.81	Professional		$275.42	$354.81	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $302.00	Professional	26	$83.18	$112.20	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $457.09	Professional		$87.10	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $912.01	Professional		$288.40	$524.81	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $199.53	Professional	26	$81.28	$107.15	$199.53