Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $388.09 / $1,165.66 / $1,953.87	Facility	26	$388.09	$1,165.66	$1,953.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.56 / $819.92 / $1,978.04	Professional		$662.56	$819.92	$1,978.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $360.06 / $491.36 / $1,251.77	Professional	26	$360.06	$491.36	$1,251.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $800.64 / $800.64 / $800.64	Professional	26	$800.64	$800.64	$800.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.78 / $1,031.84 / $2,190.50	Professional		$742.78	$1,031.84	$2,190.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $431.45 / $650.09 / $1,277.15	Professional	26	$431.45	$650.09	$1,277.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.20 / $1,422.06 / $2,424.52	Professional		$830.20	$1,422.06	$2,424.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $518.99 / $856.68 / $1,295.03	Professional	26	$518.99	$856.68	$1,295.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $998.87 / $1,490.00 / $2,133.14	Professional		$998.87	$1,490.00	$2,133.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $497.57 / $793.22 / $1,445.82	Professional	26	$497.57	$793.22	$1,445.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.55 / $830.15 / $1,679.91	Professional		$630.55	$830.15	$1,679.91
United Facility/Professional Professional Modifier Low / Median / High Price $796.07 / $1,062.23 / $2,058.75	Professional		$796.07	$1,062.23	$2,058.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $461.88 / $625.86 / $1,155.25	Professional	26	$461.88	$625.86	$1,155.25