Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $89.13 / $89.13	Facility	26	$20.89	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $275.42	Professional		$117.49	$138.04	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.99 / $44.67	Professional	26	$20.89	$23.99	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $223.87	Professional		$123.03	$134.90	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $23.44	Professional	26	$21.88	$21.88	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $257.04	Professional		$144.54	$218.78	$257.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $35.48 / $43.65	Professional	26	$24.55	$35.48	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $363.08	Professional		$141.25	$204.17	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $57.54	Professional	26	$23.99	$33.11	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $346.74	Professional		$151.36	$194.98	$346.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.90 / $61.66	Professional	26	$23.44	$30.90	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $173.78 / $229.09	Professional		$31.62	$173.78	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $338.84	Professional		$144.54	$190.55	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.62 / $54.95	Professional	26	$22.91	$31.62	$54.95