Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.26 / $98.54 / $173.31	Facility	26	$84.26	$98.54	$173.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $163.62 / $284.44	Professional		$137.24	$163.62	$284.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $148.30 / $200.21	Professional		$148.30	$148.30	$200.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $240.44 / $407.63	Professional		$143.27	$240.44	$407.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $104.99 / $195.48	Professional		$75.48	$104.99	$195.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.91 / $235.40 / $458.47	Professional		$165.91	$235.40	$458.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $206.95 / $361.72	Professional		$143.27	$206.95	$361.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $78.14 / $117.73 / $313.80	Professional	26	$78.14	$117.73	$313.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $145.22 / $286.39	Professional		$77.56	$145.22	$286.39
United Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $210.80 / $388.49	Professional		$154.10	$210.80	$388.49