Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.52 / $52.52 / $95.56	Facility	26	$52.52	$52.52	$95.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $332.49 / $694.20	Professional		$275.79	$332.49	$694.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.95 / $57.72 / $138.16	Professional	26	$50.95	$57.72	$138.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.38 / $438.38 / $625.92	Professional		$308.38	$438.38	$625.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.34 / $99.79 / $243.30	Professional	26	$67.34	$99.79	$243.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.63 / $392.08 / $711.93	Professional		$235.63	$392.08	$711.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $70.89 / $126.14	Professional	26	$41.13	$70.89	$126.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $414.82 / $773.86	Professional		$239.04	$414.82	$773.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.16 / $76.89 / $130.75	Professional	26	$55.16	$76.89	$130.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $403.78 / $1,149.17	Professional		$279.70	$403.78	$1,149.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $69.95 / $183.77	Professional	26	$59.19	$69.95	$183.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $347.68 / $589.10	Professional		$59.58	$347.68	$589.10
United Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $395.70 / $798.09	Professional		$272.39	$395.70	$798.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.36 / $78.17 / $141.03	Professional	26	$54.36	$78.17	$141.03