Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $51.29 / $112.20	Facility	26	$22.39	$51.29	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $245.47	Professional		$54.95	$81.28	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $33.11 / $85.11	Professional	26	$16.98	$33.11	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $141.25	Professional		$56.23	$56.23	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $27.54 / $42.66	Professional	26	$19.05	$27.54	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $562.34	Professional		$95.50	$162.18	$562.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.55 / $44.67	Professional	26	$17.78	$24.55	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $95.50	Professional		$25.12	$57.54	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $239.88	Professional		$70.79	$144.54	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $30.20 / $57.54	Professional	26	$17.78	$30.20	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $354.81	Professional		$83.18	$107.15	$354.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $32.36 / $64.57	Professional	26	$25.12	$32.36	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $61.66 / $138.04	Professional		$25.70	$61.66	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $331.13	Professional		$70.79	$128.82	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $50.12	Professional	26	$18.20	$25.70	$50.12