Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $46.77	Facility	26	$40.74	$40.74	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $87.10	Professional		$52.48	$64.57	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $61.66	Professional	26	$38.02	$44.67	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $104.71	Professional		$61.66	$91.20	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $74.13	Professional	26	$43.65	$64.57	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $162.18	Professional		$64.57	$89.13	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $63.10 / $114.82	Professional	26	$44.67	$63.10	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $177.83	Professional		$66.07	$72.44	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $52.48 / $123.03	Professional	26	$45.71	$52.48	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $60.26 / $123.03	Professional		$19.95	$60.26	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $147.91	Professional		$61.66	$85.11	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $104.71	Professional	26	$43.65	$60.26	$104.71