Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $169.62 / $377.43	Facility	26	$55.00	$169.62	$377.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.01 / $277.33 / $1,177.03	Professional		$240.01	$277.33	$1,177.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $86.77 / $258.83	Professional	26	$55.00	$86.77	$258.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.27 / $106.85 / $156.97	Professional	26	$69.27	$106.85	$156.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.82 / $400.00 / $876.24	Professional		$251.82	$400.00	$876.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.70 / $105.20 / $224.64	Professional	26	$75.70	$105.20	$224.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $565.26 / $1,029.44	Professional		$307.35	$565.26	$1,029.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $138.41 / $256.32	Professional	26	$82.50	$138.41	$256.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.89 / $527.29 / $1,351.32	Professional		$321.89	$527.29	$1,351.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.41 / $144.13 / $350.82	Professional	26	$90.41	$144.13	$350.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $283.48 / $502.54	Professional		$115.07	$283.48	$502.54
United Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $490.20 / $837.68	Professional		$316.80	$490.20	$837.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.67 / $110.35 / $201.13	Professional	26	$80.67	$110.35	$201.13