Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $123.03 / $245.47	Facility	26	$47.86	$123.03	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $338.84	Professional		$93.33	$123.03	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $724.44	Professional		$131.83	$269.15	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $724.44	Professional		$109.65	$239.88	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $1,023.29	Professional		$114.82	$151.36	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $204.17	Professional	26	$53.70	$72.44	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $199.53	Professional		$85.11	$97.72	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $537.03	Professional		$117.49	$208.93	$537.03