Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.67 / $58.10 / $130.77	Facility	26	$25.67	$58.10	$130.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $196.63 / $381.01	Professional		$159.55	$196.63	$381.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.00 / $29.34 / $85.31	Professional	26	$24.00	$29.34	$85.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $23.78 / $24.48	Professional	26	$23.78	$23.78	$24.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $231.10 / $438.15	Professional		$146.18	$231.10	$438.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $39.04 / $67.27	Professional	26	$26.20	$39.04	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $274.29 / $515.62	Professional		$159.00	$274.29	$515.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $52.18 / $80.19	Professional	26	$29.78	$52.18	$80.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.03 / $303.60 / $513.88	Professional		$216.03	$303.60	$513.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $49.52 / $88.07	Professional	26	$31.06	$49.52	$88.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $253.37 / $473.72	Professional		$41.83	$253.37	$473.72
United Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $248.77 / $476.98	Professional		$150.71	$248.77	$476.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.57 / $38.36 / $69.62	Professional	26	$28.57	$38.36	$69.62