Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.32 / $150.55 / $301.63	Facility	26	$59.32	$150.55	$301.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.75 / $418.98 / $1,004.81	Professional		$355.75	$418.98	$1,004.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $578.29 / $1,193.27	Professional		$304.74	$578.29	$1,193.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $613.44 / $1,366.45	Professional		$350.64	$613.44	$1,366.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.45 / $605.94 / $1,053.80	Professional		$473.45	$605.94	$1,053.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.29 / $121.61 / $197.91	Professional	26	$76.29	$121.61	$197.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $689.32 / $974.76	Professional		$103.00	$689.32	$974.76
United Facility/Professional Professional Modifier Low / Median / High Price $299.95 / $521.88 / $1,221.61	Professional		$299.95	$521.88	$1,221.61