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 $165.96 / $239.88 / $602.56	Professional		$165.96	$239.88	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $416.87	Professional		$114.82	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $645.65	Professional		$213.80	$316.23	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $794.33	Professional		$275.42	$331.13	$794.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $97.72 / $302.00	Professional	26	$81.28	$97.72	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $398.11	Professional		$104.71	$239.88	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $630.96	Professional		$186.21	$251.19	$630.96