Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.88 / $55.73 / $121.83	Facility	26	$23.88	$55.73	$121.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $132.13 / $301.22	Professional		$104.08	$132.13	$301.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.25 / $26.99 / $68.44	Professional	26	$22.25	$26.99	$68.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $137.81 / $182.68	Professional		$137.81	$137.81	$182.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $161.09 / $308.83	Professional		$106.56	$161.09	$308.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $37.14 / $75.34	Professional	26	$25.28	$37.14	$75.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $159.84 / $243.04 / $463.24	Professional	50	$159.84	$243.04	$463.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $188.28 / $317.79	Professional		$108.81	$188.28	$317.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.49 / $45.56 / $81.76	Professional	26	$26.49	$45.56	$81.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $183.29 / $396.41	Professional		$114.97	$183.29	$396.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $52.01 / $109.05	Professional	26	$32.63	$52.01	$109.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $108.83 / $193.64	Professional		$37.28	$108.83	$193.64
United Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $157.68 / $290.00	Professional		$118.80	$157.68	$290.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $34.90 / $63.20	Professional	26	$25.97	$34.90	$63.20