Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.47 / $95.76 / $205.80	Facility	26	$41.47	$95.76	$205.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.84 / $228.78 / $301.37	Professional		$177.84	$228.78	$301.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $121.68 / $121.68	Professional		$121.68	$121.68	$121.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $107.28 / $500.78	Professional		$91.18	$107.28	$500.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $140.57 / $804.82	Professional		$73.76	$140.57	$804.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.62 / $445.97 / $2,286.92	Professional		$259.62	$445.97	$2,286.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.93 / $106.36 / $486.95	Professional	26	$57.93	$106.36	$486.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $259.31 / $443.89	Professional		$66.62	$259.31	$443.89
United Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $249.83 / $584.04	Professional		$146.82	$249.83	$584.04