Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.04 / $34.68 / $107.00	Facility	26	$21.04	$34.68	$107.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $78.56 / $244.44	Professional		$57.40	$78.56	$244.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $25.47 / $67.26	Professional	26	$16.71	$25.47	$67.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.72 / $34.46 / $45.23	Professional	26	$20.72	$34.46	$45.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $147.56 / $371.55	Professional		$75.03	$147.56	$371.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $27.08 / $56.27	Professional	26	$18.35	$27.08	$56.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $57.10 / $104.42	Professional		$25.08	$57.10	$104.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $154.91 / $258.27	Professional		$72.01	$154.91	$258.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $32.00 / $63.46	Professional	26	$18.89	$32.00	$63.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $151.28 / $409.06	Professional		$83.20	$151.28	$409.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.05 / $41.53 / $87.04	Professional	26	$26.05	$41.53	$87.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $76.23 / $147.97	Professional		$25.54	$76.23	$147.97
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $133.24 / $431.62	Professional		$71.31	$133.24	$431.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $27.82 / $51.96	Professional	26	$19.23	$27.82	$51.96