Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.11 / $52.64 / $145.60	Facility	26	$43.11	$52.64	$145.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $120.84 / $270.55	Professional		$89.31	$120.84	$270.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $47.41 / $113.56	Professional	26	$32.40	$47.41	$113.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $59.35 / $84.75	Professional	26	$35.68	$59.35	$84.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $130.80 / $261.18	Professional		$85.48	$130.80	$261.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $54.46 / $107.79	Professional	26	$34.17	$54.46	$107.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.06 / $56.06 / $56.06	Facility	26	$56.06	$56.06	$56.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $155.03 / $290.73	Professional		$86.88	$155.03	$290.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $56.86 / $129.11	Professional	26	$35.49	$56.86	$129.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $176.71 / $438.28	Professional		$113.29	$176.71	$438.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.52 / $82.14 / $199.29	Professional	26	$51.52	$82.14	$199.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $90.50 / $173.73	Professional		$60.75	$90.50	$173.73
United Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $140.58 / $233.46	Professional		$93.11	$140.58	$233.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $45.94 / $88.07	Professional	26	$31.83	$45.94	$88.07