Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.41 / $61.41 / $112.01	Facility	26	$61.41	$61.41	$112.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $124.20 / $251.57	Professional		$107.50	$124.20	$251.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.02 / $67.39 / $133.63	Professional	26	$60.02	$67.39	$133.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $149.07 / $199.73	Professional		$90.75	$149.07	$199.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.79 / $111.71 / $114.92	Professional	26	$79.79	$111.71	$114.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $138.94 / $239.72	Professional		$83.44	$138.94	$239.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.75 / $76.45 / $133.34	Professional	26	$47.75	$76.45	$133.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $84.28 / $157.84	Professional		$48.86	$84.28	$157.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $151.79 / $260.08	Professional		$101.47	$151.79	$260.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.58 / $91.07 / $151.94	Professional	26	$68.58	$91.07	$151.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $138.79 / $505.00	Professional		$117.44	$138.79	$505.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.78 / $81.29 / $282.80	Professional	26	$68.78	$81.29	$282.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $96.16 / $190.53	Professional		$50.87	$96.16	$190.53
United Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $173.59 / $289.76	Professional		$111.59	$173.59	$289.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.03 / $95.69 / $156.35	Professional	26	$64.03	$95.69	$156.35