Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.67 / $54.70 / $120.35	Facility	26	$23.67	$54.70	$120.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $68.45 / $195.37	Professional		$55.37	$68.45	$195.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $77.12 / $115.48	Professional		$52.12	$77.12	$115.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $95.75 / $184.16	Professional		$63.39	$95.75	$184.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $45.75 / $85.70	Professional		$27.38	$45.75	$85.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	26	$31.61	$31.61	$31.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $105.71 / $191.02	Professional		$66.77	$105.71	$191.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $85.78 / $263.42	Professional		$66.62	$85.78	$263.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.59 / $34.57 / $106.36	Professional	26	$26.59	$34.57	$106.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $50.96 / $109.87	Professional		$26.48	$50.96	$109.87
United Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $96.85 / $162.32	Professional		$68.84	$96.85	$162.32