Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.94 / $67.91 / $145.63	Facility	26	$28.94	$67.91	$145.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $96.53 / $220.04	Professional		$72.97	$96.53	$220.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $144.81 / $157.83	Professional		$79.55	$144.81	$157.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $117.15 / $210.38	Professional		$78.09	$117.15	$210.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $60.49 / $109.18	Professional		$33.04	$60.49	$109.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $134.31 / $229.73	Professional		$88.59	$134.31	$229.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $109.20 / $272.63	Professional		$85.01	$109.20	$272.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $41.70 / $106.16	Professional	26	$32.08	$41.70	$106.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $65.69 / $140.65	Professional		$32.96	$65.69	$140.65
United Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $122.06 / $198.14	Professional		$84.98	$122.06	$198.14