Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $181.97 / $363.08	Facility	26	$100.00	$181.97	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $870.96	Professional		$204.17	$295.12	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $398.11	Professional		$208.93	$257.04	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $467.74	Professional		$186.21	$295.12	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $316.23	Professional		$79.43	$181.97	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $602.56	Professional		$186.21	$323.59	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $851.14	Professional		$263.03	$309.03	$851.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $95.50 / $275.42	Professional	26	$79.43	$95.50	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $245.47 / $407.38	Professional		$85.11	$245.47	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $562.34	Professional		$208.93	$295.12	$562.34