Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.72 / $40.39 / $83.62	Facility	26	$21.72	$40.39	$83.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $132.97 / $279.51	Professional		$120.85	$132.97	$279.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.72 / $24.41 / $46.26	Professional	26	$21.72	$24.41	$46.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $124.77 / $221.87	Professional		$124.77	$124.77	$221.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $220.34 / $316.33	Professional		$121.15	$220.34	$316.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $35.84 / $50.55	Professional	26	$20.28	$35.84	$50.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $204.65 / $365.71	Professional		$149.41	$204.65	$365.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.61 / $33.72 / $59.94	Professional	26	$24.61	$33.72	$59.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $182.09 / $364.18	Professional		$154.08	$182.09	$364.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $28.90 / $64.59	Professional	26	$22.23	$28.90	$64.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $161.08 / $229.71	Professional		$31.35	$161.08	$229.71
United Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $207.01 / $339.36	Professional		$152.12	$207.01	$339.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $32.95 / $53.92	Professional	26	$25.34	$32.95	$53.92