Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.79 / $57.81 / $126.32	Facility	26	$24.79	$57.81	$126.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $89.70 / $184.18	Professional		$61.12	$89.70	$184.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $117.18 / $246.17	Professional		$72.40	$117.18	$246.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $82.63 / $125.73	Professional		$28.62	$82.63	$125.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.78 / $32.78 / $32.78	Facility	26	$32.78	$32.78	$32.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $110.69 / $243.91	Professional		$74.39	$110.69	$243.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $126.77 / $344.66	Professional		$99.56	$126.77	$344.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $37.10 / $127.64	Professional	26	$27.27	$37.10	$127.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $108.40 / $153.08	Professional		$38.99	$108.40	$153.08
United Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $106.61 / $191.12	Professional		$69.30	$106.61	$191.12