Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.46 / $44.70 / $172.38	Facility	26	$32.46	$44.70	$172.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $110.32 / $288.72	Professional		$94.15	$110.32	$288.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.34 / $38.63 / $93.55	Professional	26	$22.34	$38.63	$93.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.55 / $52.11 / $68.70	Professional	26	$30.55	$52.11	$68.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $136.16 / $284.30	Professional		$89.58	$136.16	$284.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.40 / $40.27 / $88.40	Professional	26	$25.40	$40.27	$88.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $154.00 / $310.05	Professional		$89.14	$154.00	$310.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $42.20 / $90.68	Professional	26	$23.98	$42.20	$90.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $177.40 / $427.93	Professional		$128.03	$177.40	$427.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.71 / $62.19 / $136.11	Professional	26	$40.71	$62.19	$136.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $114.37 / $201.85	Professional		$39.86	$114.37	$201.85
United Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $137.02 / $253.02	Professional		$89.01	$137.02	$253.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $41.01 / $78.68	Professional	26	$24.43	$41.01	$78.68