Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.86 / $166.43 / $411.59	Facility	26	$80.86	$166.43	$411.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $207.03 / $610.09	Professional		$130.03	$207.03	$610.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.04 / $90.82 / $229.71	Professional	26	$76.04	$90.82	$229.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $167.86 / $167.86 / $172.68	Professional	26	$167.86	$167.86	$172.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $268.93 / $778.95	Professional		$151.52	$268.93	$778.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.98 / $118.49 / $236.43	Professional	26	$84.98	$118.49	$236.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $372.83 / $922.37	Professional		$162.26	$372.83	$922.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.79 / $141.05 / $251.04	Professional	26	$84.79	$141.05	$251.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.31 / $304.20 / $1,411.96	Professional		$167.31	$304.20	$1,411.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $99.45 / $158.54 / $384.76	Professional	26	$99.45	$158.54	$384.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $146.83 / $339.10	Professional		$96.22	$146.83	$339.10
United Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $277.66 / $698.63	Professional		$164.81	$277.66	$698.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.92 / $118.04 / $203.02	Professional	26	$84.92	$118.04	$203.02