Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.40 / $51.99 / $85.00	Facility	26	$25.40	$51.99	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $306.04 / $494.18	Professional		$55.53	$306.04	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $33.85 / $140.00	Professional	26	$11.91	$33.85	$140.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $19.98 / $21.68	Professional	26	$19.30	$19.98	$21.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $76.44 / $150.81	Professional		$45.31	$76.44	$150.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $15.12 / $30.01	Professional	26	$11.26	$15.12	$30.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $35.81 / $65.29	Professional		$12.02	$35.81	$65.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $98.49 / $184.29	Professional		$50.95	$98.49	$184.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $18.96 / $35.15	Professional	26	$11.74	$18.96	$35.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $77.04 / $527.00	Professional		$48.32	$77.04	$527.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $19.89 / $100.28	Professional	26	$12.49	$19.89	$100.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $55.82 / $119.30	Professional		$17.01	$55.82	$119.30
United Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $85.31 / $149.16	Professional		$49.69	$85.31	$149.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.60 / $15.70 / $30.31	Professional	26	$11.60	$15.70	$30.31