Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $186.21 / $398.11	Facility	26	$54.95	$186.21	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $724.44	Professional		$199.53	$309.03	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $104.71 / $269.15	Professional	26	$54.95	$104.71	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $112.20 / $154.88	Professional	26	$63.10	$112.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $812.83	Professional		$251.19	$398.11	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $109.65 / $177.83	Professional	26	$63.10	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $954.99	Professional		$302.00	$537.03	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $125.89 / $229.09	Professional	26	$77.62	$125.89	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $1,348.96	Professional		$302.00	$389.05	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $354.81	Professional	26	$83.18	$112.20	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $234.42 / $501.19	Professional		$87.10	$234.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $812.83	Professional		$302.00	$478.63	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $199.53	Professional	26	$79.43	$107.15	$199.53