Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.05 / $20.94 / $32.85	Facility	26	$18.05	$20.94	$32.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $79.06 / $173.32	Professional		$56.51	$79.06	$173.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $19.95 / $39.24	Professional	26	$18.05	$19.95	$39.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $131.87 / $135.61	Professional		$122.83	$131.87	$135.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.92 / $34.00 / $34.00	Professional	26	$33.92	$34.00	$34.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $84.94 / $162.00	Professional		$43.83	$84.94	$162.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $25.41 / $44.01	Professional	26	$16.55	$25.41	$44.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $60.11 / $89.45	Professional		$19.42	$60.11	$89.45
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 $46.47 / $89.31 / $156.66	Professional		$46.47	$89.31	$156.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $25.60 / $41.76	Professional	26	$19.82	$25.60	$41.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $99.93 / $134.96	Professional		$81.68	$99.93	$134.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $31.20 / $60.08	Professional	26	$21.23	$31.20	$60.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $85.16 / $118.47	Professional		$29.71	$85.16	$118.47
United Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $80.34 / $158.16	Professional		$45.20	$80.34	$158.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $26.87 / $41.11	Professional	26	$17.18	$26.87	$41.11