Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $104.71 / $234.42	Facility	26	$43.65	$104.71	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $354.81	Professional		$95.50	$169.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $204.17	Professional		$87.10	$107.15	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $245.47	Professional		$114.82	$154.88	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $141.25	Professional		$51.29	$75.86	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $281.84	Professional		$107.15	$165.96	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $371.54	Professional		$123.03	$147.91	$371.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $177.83	Professional	26	$51.29	$60.26	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $190.55	Professional		$54.95	$107.15	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $257.04	Professional		$112.20	$144.54	$257.04