Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $73.15 / $163.44	Facility	26	$32.40	$73.15	$163.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.65 / $242.46 / $653.39	Professional		$166.65	$242.46	$653.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $38.89 / $107.61	Professional	26	$31.70	$38.89	$107.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.03 / $31.93 / $61.83	Professional	26	$30.03	$31.93	$61.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $301.23 / $561.54	Professional		$174.15	$301.23	$561.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.92 / $50.65 / $86.84	Professional	26	$32.92	$50.65	$86.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $346.06 / $705.47	Professional		$167.45	$346.06	$705.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $68.65 / $101.22	Professional	26	$37.65	$68.65	$101.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $449.76 / $671.09	Professional		$282.13	$449.76	$671.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.01 / $63.78 / $95.16	Professional	26	$40.01	$63.78	$95.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $332.37 / $391.08	Professional		$54.00	$332.37	$391.08
United Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $322.75 / $619.36	Professional		$191.31	$322.75	$619.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.75 / $49.28 / $87.83	Professional	26	$37.75	$49.28	$87.83