Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.81 / $113.89 / $248.15	Facility	26	$48.81	$113.89	$248.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $147.07 / $321.08	Professional		$97.21	$147.07	$321.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $157.93 / $204.10	Professional		$95.27	$157.93	$204.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $148.90 / $279.83	Professional		$104.75	$148.90	$279.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $73.06 / $142.68	Professional		$53.78	$73.06	$142.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $175.55 / $304.85	Professional		$115.73	$175.55	$304.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $132.46 / $379.03	Professional		$109.93	$132.46	$379.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.78 / $67.73 / $178.64	Professional	26	$53.78	$67.73	$178.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $85.83 / $182.48	Professional		$50.54	$85.83	$182.48
United Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $157.79 / $262.70	Professional		$114.67	$157.79	$262.70