Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.64 / $107.53 / $413.11	Facility	26	$79.64	$107.53	$413.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $182.18 / $568.67	Professional		$136.22	$182.18	$568.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.42 / $88.55 / $274.18	Professional	26	$52.42	$88.55	$274.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $108.00 / $169.15 / $186.01	Professional	26	$108.00	$169.15	$186.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $267.12 / $717.54	Professional		$158.03	$267.12	$717.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $98.22 / $216.46	Professional	26	$61.05	$98.22	$216.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $339.08 / $872.90	Professional		$148.06	$339.08	$872.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.09 / $100.75 / $248.20	Professional	26	$59.09	$100.75	$248.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $332.16 / $1,438.65	Professional		$182.69	$332.16	$1,438.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.30 / $153.63 / $387.96	Professional	26	$100.30	$153.63	$387.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.60 / $161.75 / $307.25	Professional		$122.60	$161.75	$307.25
United Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $285.64 / $599.54	Professional		$166.77	$285.64	$599.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $100.27 / $192.66	Professional	26	$58.79	$100.27	$192.66