Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $100.00 / $204.17	Facility	26	$54.95	$100.00	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $251.19	Professional		$77.62	$112.20	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $331.13	Professional		$107.15	$186.21	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $363.08	Professional		$91.20	$181.97	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $616.60	Professional		$114.82	$147.91	$616.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $154.88	Professional	26	$43.65	$58.88	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $186.21	Professional		$45.71	$95.50	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $295.12	Professional		$102.33	$169.82	$295.12