Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.36 / $166.87 / $199.04	Facility	26	$33.36	$166.87	$199.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $88.74 / $250.00	Professional		$55.28	$88.74	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $146.63 / $274.52	Professional		$65.62	$146.63	$274.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.43 / $216.34 / $411.78	Professional	50	$98.43	$216.34	$411.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.74 / $43.74 / $43.74	Facility	26	$43.74	$43.74	$43.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $177.57 / $312.95	Professional		$91.25	$177.57	$312.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $85.11 / $452.47	Professional		$65.62	$85.11	$452.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.20 / $48.36 / $208.91	Professional	26	$37.20	$48.36	$208.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $279.89 / $402.60	Professional		$182.80	$279.89	$402.60
United Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $161.97 / $267.22	Professional		$84.54	$161.97	$267.22