Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.65 / $62.66 / $114.67	Facility	26	$62.65	$62.66	$114.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $164.25 / $346.73	Professional		$139.41	$164.25	$346.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $69.81 / $119.05	Professional	26	$58.79	$69.81	$119.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $280.14 / $293.51	Professional		$139.33	$280.14	$293.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $124.11 / $126.30	Professional	26	$90.00	$124.11	$126.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $214.57 / $379.46	Professional		$135.80	$214.57	$379.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.76 / $97.33 / $165.65	Professional	26	$60.76	$97.33	$165.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $61.70 / $61.70	Professional		$61.70	$61.70	$61.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $213.87 / $384.97	Professional		$151.41	$213.87	$384.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.05 / $95.40 / $167.21	Professional	26	$69.05	$95.40	$167.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $196.16 / $380.24	Professional		$150.88	$196.16	$380.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $84.47 / $163.75	Professional	26	$64.98	$84.47	$163.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $120.21 / $240.12	Professional		$68.59	$120.21	$240.12
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $198.30 / $310.13	Professional		$138.04	$198.30	$310.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.84 / $89.55 / $137.25	Professional	26	$62.84	$89.55	$137.25