Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $60.26 / $134.90	Facility	26	$24.55	$60.26	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $190.55	Professional		$66.07	$97.72	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $117.49	Professional		$89.13	$89.13	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $177.83	Professional		$63.10	$97.72	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $70.79 / $125.89	Professional		$26.30	$70.79	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $229.09	Professional		$74.13	$117.49	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $446.68	Professional		$107.15	$134.90	$446.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.90 / $128.82	Professional	26	$28.84	$38.90	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $109.65 / $151.36	Professional		$40.74	$109.65	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $194.98	Professional		$66.07	$102.33	$194.98