Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.37 / $183.13 / $398.24	Facility	26	$78.37	$183.13	$398.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $209.42 / $478.31	Professional		$144.83	$209.42	$478.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $93.15 / $227.06	Professional	26	$73.09	$93.15	$227.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $239.54 / $319.43	Professional		$135.72	$239.54	$319.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.11 / $153.03 / $160.52	Professional	26	$75.11	$153.03	$160.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $239.97 / $453.62	Professional		$154.84	$239.97	$453.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.30 / $120.88 / $213.46	Professional	26	$79.30	$120.88	$213.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $117.52 / $223.57	Professional		$83.35	$117.52	$223.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.92 / $102.92 / $102.92	Facility	26	$102.92	$102.92	$102.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $273.87 / $476.27	Professional		$169.98	$273.87	$476.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.09 / $137.91 / $240.23	Professional	26	$92.09	$137.91	$240.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.05 / $223.57 / $666.60	Professional		$172.05	$223.57	$666.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.46 / $112.40 / $317.92	Professional	26	$86.46	$112.40	$317.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $138.72 / $282.16	Professional		$77.81	$138.72	$282.16
United Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $254.30 / $395.33	Professional		$171.66	$254.30	$395.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.77 / $125.33 / $212.02	Professional	26	$93.77	$125.33	$212.02