Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $23.99 / $32.36	Facility	26	$18.20	$23.99	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $181.97	Professional		$61.66	$83.18	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.88 / $48.98	Professional	26	$17.38	$21.88	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $138.04	Professional		$69.18	$107.15	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $33.88 / $36.31	Professional	26	$16.22	$33.88	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $77.62 / $144.54	Professional		$34.67	$77.62	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.84 / $38.90	Professional	26	$19.95	$28.84	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $60.26 / $83.18	Professional		$19.50	$60.26	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.68 / $21.38 / $30.90	Facility	26	$4.68	$21.38	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $162.18	Professional		$50.12	$93.33	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $41.69	Professional	26	$19.95	$26.30	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $323.59	Professional		$89.13	$107.15	$323.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $75.86	Professional	26	$21.88	$31.62	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $85.11 / $114.82	Professional		$30.20	$85.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $154.88	Professional		$44.67	$79.43	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $24.55 / $41.69	Professional	26	$16.98	$24.55	$41.69