Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.89 / $26.89 / $45.11	Facility	26	$26.89	$26.89	$45.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $131.29 / $287.37	Professional		$48.57	$131.29	$287.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $27.61 / $50.50	Professional	26	$24.54	$27.61	$50.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $318.27 / $318.27	Professional		$222.86	$318.27	$318.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $163.65 / $331.77	Professional		$30.56	$163.65	$331.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.48 / $35.14 / $73.38	Professional	26	$28.48	$35.14	$73.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $136.38 / $350.34	Professional		$30.99	$136.38	$350.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $339.43	Professional		$158.02	$158.02	$339.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $60.94	Professional	26	$28.27	$28.27	$60.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $299.81 / $390.00	Professional		$171.43	$299.81	$390.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.78 / $36.94 / $61.56	Professional	26	$30.78	$36.94	$61.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $198.30 / $272.81	Professional		$46.93	$198.30	$272.81
United Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $120.20 / $388.67	Professional		$73.92	$120.20	$388.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.54 / $37.90 / $71.98	Professional	26	$29.54	$37.90	$71.98