Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.44 / $49.44 / $56.00	Facility	26	$49.44	$49.44	$56.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $252.17 / $597.04	Professional		$225.83	$252.17	$597.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.44 / $55.63 / $110.01	Professional	26	$49.44	$55.63	$110.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.14 / $77.14 / $77.14	Professional	26	$77.14	$77.14	$77.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $297.50 / $556.45	Professional		$192.82	$297.50	$556.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.18 / $61.67 / $111.62	Professional	26	$46.18	$61.67	$111.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $60.41	Facility	26	$60.41	$60.41	$60.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.03 / $321.86 / $639.60	Professional		$210.03	$321.86	$639.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.57 / $74.05 / $130.28	Professional	26	$50.57	$74.05	$130.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.10 / $627.46 / $1,092.00	Professional		$345.10	$627.46	$1,092.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $72.55 / $349.89	Professional	26	$57.00	$72.55	$349.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $350.96 / $564.73	Professional		$84.20	$350.96	$564.73
United Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $300.77 / $540.45	Professional		$229.90	$300.77	$540.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.82 / $72.20 / $113.07	Professional	26	$53.82	$72.20	$113.07