Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $199.53 / $331.13	Facility	26	$64.57	$199.53	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $302.00	Professional		$109.65	$144.54	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $275.42	Professional		$141.25	$169.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $398.11	Professional		$147.91	$239.88	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $1,047.13	Professional		$165.96	$199.53	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $97.72 / $512.86	Professional	26	$83.18	$97.72	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $239.88	Professional		$104.71	$117.49	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $389.05	Professional		$138.04	$181.97	$389.05