Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $138.04 / $302.00	Facility	26	$58.88	$138.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $851.14	Professional		$245.47	$363.08	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $77.62 / $158.49	Professional	26	$51.29	$77.62	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $114.82 / $120.23	Professional	26	$112.20	$114.82	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $660.69	Professional		$263.03	$416.87	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $131.83	Professional	26	$64.57	$91.20	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $912.01	Professional		$331.13	$537.03	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $177.83	Professional	26	$69.18	$117.49	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $831.76	Professional		$363.08	$575.44	$831.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $177.83	Professional	26	$70.79	$112.20	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $389.05 / $489.78	Professional		$93.33	$389.05	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $831.76	Professional		$281.84	$416.87	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $158.49	Professional	26	$63.10	$81.28	$158.49