Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.58 / $64.50 / $129.28	Facility	26	$33.58	$64.50	$129.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $69.26 / $115.41	Professional		$51.81	$69.26	$115.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $37.07 / $62.62	Professional	26	$32.63	$37.07	$62.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $62.44 / $119.09	Professional		$62.44	$62.44	$119.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.02 / $34.02 / $62.93	Professional	26	$34.02	$34.02	$62.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $96.01 / $172.95	Professional		$51.07	$96.01	$172.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $60.89 / $93.46	Professional	26	$29.91	$60.89	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $90.23 / $193.76	Professional		$64.25	$90.23	$193.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $56.13 / $101.74	Professional	26	$38.82	$56.13	$101.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $87.46 / $379.00	Professional		$60.55	$87.46	$379.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $44.23 / $246.35	Professional	26	$30.62	$44.23	$246.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $59.58 / $118.56	Professional		$33.27	$59.58	$118.56
United Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $84.41 / $151.35	Professional		$60.71	$84.41	$151.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $51.77 / $91.17	Professional	26	$37.11	$51.77	$91.17