Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.37 / $18.37 / $34.03	Facility	26	$18.37	$18.37	$34.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $75.89 / $165.10	Professional		$59.49	$75.89	$165.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.37 / $20.13 / $51.94	Professional	26	$18.37	$20.13	$51.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $125.51 / $125.81	Professional		$125.51	$125.51	$125.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.54 / $84.54 / $84.54	Professional	26	$84.54	$84.54	$84.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $78.61 / $154.96	Professional		$42.44	$78.61	$154.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.37 / $25.07 / $43.83	Professional	26	$16.37	$25.07	$43.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $88.78 / $151.65	Professional		$49.10	$88.78	$151.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $26.02 / $44.86	Professional	26	$19.82	$26.02	$44.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $98.82 / $125.15	Professional		$75.75	$98.82	$125.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $31.20 / $59.13	Professional	26	$21.23	$31.20	$59.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $76.80 / $109.65	Professional		$29.71	$76.80	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $81.80 / $182.08	Professional		$46.68	$81.80	$182.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $26.74 / $41.93	Professional	26	$17.48	$26.74	$41.93