Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $115.46 / $257.05	Facility	26	$55.00	$115.46	$257.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.18 / $275.00 / $677.18	Professional		$227.18	$275.00	$677.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.07 / $168.44	Professional	26	$52.46	$61.07	$168.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $185.18 / $185.18	Professional		$147.56	$185.18	$185.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.81 / $53.48 / $97.06	Professional	26	$47.81	$53.48	$97.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $354.63 / $697.16	Professional		$231.52	$354.63	$697.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.03 / $74.92 / $154.41	Professional	26	$53.03	$74.92	$154.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $489.48 / $832.97	Professional		$269.45	$489.48	$832.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.59 / $94.22 / $168.69	Professional	26	$55.59	$94.22	$168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $481.66 / $1,084.61	Professional		$266.20	$481.66	$1,084.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.67 / $96.71 / $213.96	Professional	26	$60.67	$96.71	$213.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $249.79 / $418.64	Professional		$77.20	$249.79	$418.64
United Facility/Professional Professional Modifier Low / Median / High Price $268.87 / $404.43 / $709.17	Professional		$268.87	$404.43	$709.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.15 / $77.95 / $136.13	Professional	26	$56.15	$77.95	$136.13