Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $48.62	Facility		$43.43	$43.43	$48.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.50 / $40.70 / $60.58	Facility	26	$14.50	$40.70	$60.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $43.61 / $68.52	Professional		$15.66	$43.61	$68.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $42.50 / $64.75	Professional	26	$15.66	$42.50	$64.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $45.79	Professional		$45.79	$45.79	$45.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.88 / $66.45 / $79.00	Professional	26	$42.88	$66.45	$79.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $3.90 / $15.73	Facility		$2.37	$3.90	$15.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $50.46 / $107.58	Professional		$14.87	$50.46	$107.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $7.49 / $54.33	Professional	26	$7.48	$7.49	$54.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $54.94 / $91.25	Facility		$4.09	$54.94	$91.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $45.61 / $56.43	Professional		$3.27	$45.61	$56.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.39 / $27.58	Facility		$4.90	$7.39	$27.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $128.07	Professional		$43.45	$43.45	$128.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $119.22	Professional	26	$40.47	$40.47	$119.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $92.40 / $229.48	Professional		$45.38	$92.40	$229.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.44 / $76.92 / $215.06	Professional	26	$42.44	$76.92	$215.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $58.95 / $82.79	Professional		$4.25	$58.95	$82.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $28.81 / $94.01	Professional		$19.12	$28.81	$94.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $28.80 / $83.26	Professional	26	$19.13	$28.80	$83.26