Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $125.89	Facility		$42.66	$70.79	$125.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $39.81 / $117.49	Facility	26	$14.45	$39.81	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $43.65 / $61.66	Professional		$14.13	$43.65	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $43.65 / $83.18	Professional	26	$15.49	$43.65	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $67.61 / $79.43	Professional	26	$23.44	$67.61	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.89 / $15.85	Facility		$3.09	$3.89	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $83.18	Professional		$14.79	$19.50	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.41 / $33.11	Professional	26	$7.41	$7.41	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $61.66 / $91.20	Facility		$4.27	$61.66	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $54.95 / $61.66	Professional		$3.63	$54.95	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.41 / $12.59	Facility		$4.90	$7.41	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $102.33	Professional		$43.65	$43.65	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $104.71	Professional	26	$40.74	$40.74	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $229.09	Professional		$45.71	$52.48	$229.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $43.65 / $213.80	Professional	26	$42.66	$43.65	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $46.77 / $95.50	Professional		$3.47	$46.77	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $16.98	Facility		$2.95	$2.95	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $89.13	Professional		$19.05	$28.84	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.84 / $83.18	Professional	26	$19.05	$28.84	$83.18