Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.11 / $129.77 / $286.79	Facility	26	$56.11	$129.77	$286.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.82 / $331.86 / $1,021.52	Professional		$269.82	$331.86	$1,021.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $64.22 / $188.18	Professional	26	$52.54	$64.22	$188.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $105.96 / $105.96 / $105.96	Professional	26	$105.96	$105.96	$105.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $396.51 / $765.43	Professional		$262.23	$396.51	$765.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.97 / $85.40 / $150.12	Professional	26	$58.97	$85.40	$150.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $518.62 / $909.51	Professional		$316.58	$518.62	$909.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.69 / $117.93 / $176.91	Professional	26	$65.69	$117.93	$176.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.23 / $563.12 / $840.21	Professional		$353.23	$563.12	$840.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.50 / $109.20 / $177.17	Professional	26	$68.50	$109.20	$177.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $398.72 / $771.44	Professional		$94.02	$398.72	$771.44
United Facility/Professional Professional Modifier Low / Median / High Price $297.63 / $436.21 / $778.20	Professional		$297.63	$436.21	$778.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $88.40 / $152.69	Professional	26	$64.23	$88.40	$152.69