Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.42 / $77.95 / $264.50	Facility	26	$51.42	$77.95	$264.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $199.67 / $547.49	Professional		$171.40	$199.67	$547.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $54.04 / $136.57	Professional	26	$42.60	$54.04	$136.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.80 / $50.41 / $85.67	Professional	26	$49.80	$50.41	$85.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $248.75 / $513.24	Professional		$162.77	$248.75	$513.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.10 / $70.09 / $141.08	Professional	26	$49.10	$70.09	$141.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $290.20 / $556.62	Professional		$165.34	$290.20	$556.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.02 / $83.76 / $152.19	Professional	26	$49.02	$83.76	$152.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $327.32 / $766.54	Professional		$229.32	$327.32	$766.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.21 / $100.76 / $211.28	Professional	26	$63.21	$100.76	$211.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $233.01 / $421.20	Professional		$86.76	$233.01	$421.20
United Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $254.06 / $461.30	Professional		$169.07	$254.06	$461.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.28 / $72.31 / $123.29	Professional	26	$50.28	$72.31	$123.29