Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $123.03 / $144.54	Facility	26	$91.20	$123.03	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $812.83	Professional		$251.19	$446.68	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $660.69	Professional		$199.53	$363.08	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $1,023.29	Professional		$251.19	$436.52	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,202.26	Professional		$323.59	$478.63	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $125.89 / $323.59	Professional	26	$102.33	$125.89	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $537.03 / $741.31	Professional		$165.96	$537.03	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $891.25	Professional		$269.15	$398.11	$891.25