Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $83.18 / $134.90	Facility	26	$61.66	$83.18	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $354.81	Professional		$141.25	$173.78	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $208.93	Professional	26	$61.66	$81.28	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $302.00	Professional		$138.04	$158.49	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $120.23 / $131.83	Professional	26	$72.44	$120.23	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $346.74	Professional		$144.54	$234.42	$346.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $158.49	Professional	26	$69.18	$102.33	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $380.19	Professional		$154.88	$213.80	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $162.18	Professional	26	$69.18	$95.50	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $416.87	Professional		$158.49	$204.17	$416.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $177.83	Professional	26	$64.57	$83.18	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $309.03	Professional		$95.50	$162.18	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $309.03	Professional		$138.04	$186.21	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $138.04	Professional	26	$63.10	$83.18	$138.04