Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.54 / $77.79 / $219.93	Facility	26	$43.54	$77.79	$219.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $132.91 / $319.37	Professional		$96.09	$132.91	$319.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $159.08 / $213.73	Professional		$97.85	$159.08	$213.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $152.09 / $277.36	Professional		$101.99	$152.09	$277.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $76.92 / $148.37	Professional		$49.42	$76.92	$148.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $169.40 / $291.89	Professional		$109.67	$169.40	$291.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $148.47 / $361.64	Professional		$115.12	$148.47	$361.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.92 / $62.30 / $176.17	Professional	26	$47.92	$62.30	$176.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $89.96 / $187.62	Professional		$47.50	$89.96	$187.62
United Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $152.22 / $256.49	Professional		$110.90	$152.22	$256.49