Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.96 / $163.16 / $313.49	Facility	26	$61.96	$163.16	$313.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $125.96 / $329.60	Professional		$99.43	$125.96	$329.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $170.51 / $346.90	Professional		$131.00	$170.51	$346.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $248.80 / $397.19	Professional		$150.63	$248.80	$397.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $255.25 / $1,235.67	Professional		$160.12	$255.25	$1,235.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.13 / $126.15 / $607.78	Professional	26	$79.13	$126.15	$607.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $132.71 / $269.29	Professional		$101.36	$132.71	$269.29
United Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $185.16 / $391.27	Professional		$138.93	$185.16	$391.27