Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.06 / $69.91 / $151.58	Facility	26	$30.06	$69.91	$151.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $135.82 / $310.32	Professional		$95.51	$135.82	$310.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $191.74 / $211.11	Professional		$93.95	$191.74	$211.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $142.74 / $271.64	Professional		$98.35	$142.74	$271.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $78.42 / $154.88	Professional		$34.04	$78.42	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $168.27 / $297.81	Professional		$102.92	$168.27	$297.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $141.01 / $349.78	Professional		$110.53	$141.01	$349.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $44.81 / $140.62	Professional	26	$33.04	$44.81	$140.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $117.00 / $191.80	Professional		$42.90	$117.00	$191.80
United Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $145.21 / $258.76	Professional		$110.83	$145.21	$258.76