Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.33 / $546.87 / $846.91	Facility	26	$168.33	$546.87	$846.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.94 / $551.85 / $1,205.77	Professional		$445.94	$551.85	$1,205.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.21 / $184.71 / $491.10	Professional	26	$154.21	$184.71	$491.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $282.64 / $327.55 / $374.67	Professional	26	$282.64	$327.55	$374.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.58 / $682.81 / $1,415.41	Professional		$534.58	$682.81	$1,415.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $180.35 / $230.40 / $464.04	Professional	26	$180.35	$230.40	$464.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.07 / $1,012.00 / $1,660.59	Professional		$617.07	$1,012.00	$1,660.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $211.80 / $337.74 / $554.01	Professional	26	$211.80	$337.74	$554.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.38 / $1,041.59 / $5,063.39	Professional		$653.38	$1,041.59	$5,063.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $215.78 / $343.99 / $1,651.21	Professional	26	$215.78	$343.99	$1,651.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $625.87 / $1,097.83	Professional		$288.57	$625.87	$1,097.83
United Facility/Professional Professional Modifier Low / Median / High Price $562.05 / $760.10 / $1,393.66	Professional		$562.05	$760.10	$1,393.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $185.00 / $250.21 / $484.22	Professional	26	$185.00	$250.21	$484.22