Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.16 / $187.68 / $436.84	Facility	26	$86.16	$187.68	$436.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $225.96 / $369.40	Professional		$170.66	$225.96	$369.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.04 / $288.91 / $595.20	Professional		$198.04	$288.91	$595.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $91.99 / $91.99	Professional		$91.99	$91.99	$91.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $328.21 / $617.12	Professional		$206.52	$328.21	$617.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $300.30 / $551.57	Professional		$251.89	$300.30	$551.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.37 / $116.84 / $245.37	Professional	26	$97.37	$116.84	$245.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $374.30 / $703.50	Professional		$233.32	$374.30	$703.50
United Facility/Professional Professional Modifier Low / Median / High Price $205.58 / $272.41 / $476.29	Professional		$205.58	$272.41	$476.29