Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $51.29 / $158.49	Facility	26	$38.90	$51.29	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $181.97	Professional		$64.57	$81.28	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $102.33	Professional	26	$38.02	$47.86	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $173.78	Professional		$128.82	$147.91	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $93.33	Professional	26	$57.54	$70.79	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $147.91	Professional		$64.57	$91.20	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $60.26 / $87.10	Professional	26	$42.66	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $208.93	Professional		$74.13	$100.00	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $114.82	Professional	26	$47.86	$64.57	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $426.58	Professional		$69.18	$100.00	$426.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $53.70 / $288.40	Professional	26	$37.15	$53.70	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $74.13 / $151.36	Professional		$36.31	$74.13	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $173.78	Professional		$66.07	$89.13	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $102.33	Professional	26	$40.74	$54.95	$102.33