Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.86 / $46.70 / $102.55	Facility	26	$19.86	$46.70	$102.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $116.37 / $255.38	Professional		$99.24	$116.37	$255.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $20.69 / $56.81	Professional	26	$18.35	$20.69	$56.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $20.04 / $28.93	Professional	26	$20.04	$20.04	$28.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $151.02 / $315.30	Professional		$98.56	$151.02	$315.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.05 / $31.90 / $61.58	Professional	26	$22.05	$31.90	$61.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $170.17 / $333.99	Professional		$96.50	$170.17	$333.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $37.53 / $63.40	Professional	26	$22.52	$37.53	$63.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $215.29 / $471.56	Professional		$141.08	$215.29	$471.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.27 / $38.68 / $86.06	Professional	26	$24.27	$38.68	$86.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $124.49 / $216.38	Professional		$23.75	$124.49	$216.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $145.47 / $280.62	Professional		$104.21	$145.47	$280.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $31.28 / $50.78	Professional	26	$22.18	$31.28	$50.78