Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.22 / $51.10 / $151.04	Facility	26	$39.22	$51.10	$151.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $75.79 / $168.54	Professional		$56.61	$75.79	$168.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $43.31 / $75.84	Professional	26	$38.11	$43.31	$75.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $135.79 / $172.49	Professional		$102.12	$135.79	$172.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.11 / $73.43 / $92.52	Professional	26	$71.11	$73.43	$92.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $89.86 / $189.53	Professional		$55.52	$89.86	$189.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.70 / $59.78 / $108.82	Professional	26	$34.70	$59.78	$108.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $98.73 / $210.63	Professional		$70.37	$98.73	$210.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.60 / $64.43 / $115.74	Professional	26	$44.60	$64.43	$115.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $95.08 / $416.00	Professional		$65.83	$95.08	$416.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $51.42 / $282.88	Professional	26	$35.60	$51.42	$282.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $65.80 / $128.88	Professional		$34.74	$65.80	$128.88
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $93.15 / $166.27	Professional		$66.09	$93.15	$166.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.98 / $58.83 / $98.66	Professional	26	$42.98	$58.83	$98.66