Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $138.04 / $208.93	Facility	26	$72.44	$138.04	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $204.17	Professional		$54.95	$85.11	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $575.44 / $575.44	Professional	50	$575.44	$575.44	$575.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	50	$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $302.00	Professional		$91.20	$177.83	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $269.15 / $457.09	Professional	50	$134.90	$269.15	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $302.00	Professional		$83.18	$173.78	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $457.09	Professional		$69.18	$83.18	$457.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $46.77 / $208.93	Professional	26	$38.90	$46.77	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $436.52	Professional		$147.91	$309.03	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $263.03	Professional		$79.43	$158.49	$263.03