Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.52 / $21.52 / $24.77	Facility	26	$21.52	$21.52	$24.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $70.56 / $95.41	Professional		$59.61	$70.56	$95.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.42 / $22.86 / $29.64	Professional	26	$19.42	$22.86	$29.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $74.08 / $154.51	Professional		$59.26	$74.08	$154.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $23.65 / $50.45	Professional	26	$18.92	$23.65	$50.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $98.89 / $148.63	Professional		$71.04	$98.89	$148.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $31.93 / $50.90	Professional	26	$23.04	$31.93	$50.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $75.83 / $110.92	Professional		$63.38	$75.83	$110.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.41 / $24.49 / $46.94	Professional	26	$20.41	$24.49	$46.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $52.26 / $95.82	Professional		$21.78	$52.26	$95.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $96.87 / $149.88	Professional		$67.79	$96.87	$149.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.22 / $30.05 / $48.34	Professional	26	$21.22	$30.05	$48.34