Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.79 / $115.92 / $124.84	Facility	26	$24.79	$115.92	$124.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $85.31 / $156.11	Professional		$73.61	$85.31	$156.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $109.96 / $218.10	Professional		$80.59	$109.96	$218.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $63.16 / $125.15	Professional		$28.04	$63.16	$125.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $136.81 / $240.56	Professional		$90.06	$136.81	$240.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $106.16 / $836.85	Professional		$89.56	$106.16	$836.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $31.36 / $100.27	Professional	26	$27.27	$31.36	$100.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $128.60 / $255.40	Professional		$108.30	$128.60	$255.40
United Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $123.81 / $208.12	Professional		$89.98	$123.81	$208.12