Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $77.62 / $131.83	Facility	26	$25.70	$77.62	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $154.88	Professional		$72.44	$87.10	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $169.82	Professional		$91.20	$109.65	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $66.07 / $112.20	Professional		$28.84	$66.07	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $239.88	Professional		$85.11	$128.82	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $691.83	Professional		$93.33	$107.15	$691.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $31.62 / $74.13	Professional	26	$28.18	$31.62	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $257.04	Professional		$107.15	$141.25	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $208.93	Professional		$89.13	$120.23	$208.93