Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.14 / $98.34 / $151.53	Facility	26	$30.14	$98.34	$151.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $53.67 / $178.72	Professional		$43.37	$53.67	$178.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.43 / $31.82 / $87.20	Professional	26	$27.43	$31.82	$87.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.06 / $62.06 / $62.06	Professional	26	$62.06	$62.06	$62.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $100.46 / $179.84	Professional		$53.42	$100.46	$179.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $55.88 / $97.65	Professional	26	$31.26	$55.88	$97.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.03 / $150.69 / $270.19	Professional	50	$80.03	$150.69	$270.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.95 / $39.95 / $39.95	Facility	26	$39.95	$39.95	$39.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $120.77 / $217.88	Professional		$65.58	$120.77	$217.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.74 / $64.47 / $106.31	Professional	26	$36.74	$64.47	$106.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $71.05 / $345.10	Professional		$54.65	$71.05	$345.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $44.16 / $126.46	Professional	26	$33.97	$44.16	$126.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $156.10 / $229.00	Professional		$123.70	$156.10	$229.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $109.74 / $173.33	Professional		$59.85	$109.74	$173.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.29 / $56.91 / $87.07	Professional	26	$35.29	$56.91	$87.07