Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $91.20 / $162.18	Facility	26	$57.54	$91.20	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $158.49	Professional		$43.65	$66.07	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.31 / $74.13	Professional	26	$26.92	$36.31	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $208.93	Professional		$72.44	$114.82	$208.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $60.26 / $97.72	Professional	26	$39.81	$60.26	$97.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $173.78 / $309.03	Professional	50	$107.15	$173.78	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $199.53	Professional		$60.26	$120.23	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $60.26 / $102.33	Professional	26	$34.67	$60.26	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $346.74	Professional		$58.88	$69.18	$346.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $42.66 / $125.89	Professional	26	$35.48	$42.66	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $251.19	Professional		$97.72	$147.91	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $165.96	Professional		$58.88	$107.15	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $54.95 / $87.10	Professional	26	$34.67	$54.95	$87.10