Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $94.39 / $246.62	Facility	26	$49.06	$94.39	$246.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $136.03 / $378.56	Professional		$108.25	$136.03	$378.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $240.00 / $240.00	Professional		$114.20	$240.00	$240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $186.59 / $360.26	Professional		$116.79	$186.59	$360.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $199.54 / $367.33	Professional		$118.44	$199.54	$367.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $210.00 / $460.06	Professional		$175.83	$210.00	$460.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.63 / $79.90 / $174.19	Professional	26	$61.63	$79.90	$174.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $184.50 / $295.80	Professional		$93.06	$184.50	$295.80
United Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $164.42 / $319.33	Professional		$126.07	$164.42	$319.33