Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $218.78 / $467.74	Facility	26	$120.23	$218.78	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $371.54	Professional		$169.82	$229.09	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $489.78	Professional		$204.17	$263.03	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $562.34	Professional		$204.17	$302.00	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $660.69	Professional		$281.84	$338.84	$660.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $125.89 / $269.15	Professional	26	$104.71	$125.89	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $707.95	Professional		$269.15	$407.38	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $457.09	Professional		$194.98	$251.19	$457.09