Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $79.43 / $162.18	Facility	26	$30.90	$79.43	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $380.19	Professional		$97.72	$173.78	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $204.17	Professional		$77.62	$102.33	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $229.09	Professional		$104.71	$144.54	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $141.25	Professional		$34.67	$81.28	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $269.15	Professional		$100.00	$158.49	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $363.08	Professional		$120.23	$141.25	$363.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $42.66 / $134.90	Professional	26	$35.48	$42.66	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $112.20 / $194.98	Professional		$37.15	$112.20	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $257.04	Professional		$107.15	$138.04	$257.04