Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.47 / $34.47 / $63.32	Facility	26	$34.47	$34.47	$63.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $84.46 / $148.41	Professional		$75.25	$84.46	$148.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $37.90 / $63.42	Professional	26	$33.49	$37.90	$63.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $139.62 / $146.44	Professional		$75.84	$139.62	$146.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.52 / $64.52 / $64.52	Professional	26	$64.52	$64.52	$64.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $104.86 / $169.75	Professional		$60.87	$104.86	$169.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.59 / $48.11 / $76.48	Professional	26	$26.59	$48.11	$76.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $108.20 / $186.58	Professional		$78.25	$108.20	$186.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.44 / $51.18 / $96.96	Professional	26	$38.44	$51.18	$96.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $102.54 / $453.00	Professional		$86.77	$102.54	$453.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.89 / $45.96 / $217.44	Professional	26	$38.89	$45.96	$217.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $70.48 / $138.44	Professional		$37.54	$70.48	$138.44
United Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $119.93 / $191.65	Professional		$78.72	$119.93	$191.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.06 / $54.31 / $91.35	Professional	26	$35.06	$54.31	$91.35