Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $75.86 / $162.18	Facility	26	$30.20	$75.86	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $537.03	Professional		$162.18	$239.88	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $407.38	Professional		$186.21	$269.15	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $588.84	Professional		$208.93	$346.74	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $537.03	Professional		$234.42	$371.54	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $107.15	Professional	26	$38.02	$60.26	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $263.03 / $316.23	Professional		$48.98	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $537.03	Professional		$181.97	$263.03	$537.03