Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $16.60 / $42.66	Facility	26	$8.91	$16.60	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $109.65	Professional		$42.66	$51.29	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $151.36	Professional		$53.70	$87.10	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $134.90	Professional		$53.70	$79.43	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $177.83	Professional		$48.98	$61.66	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.75 / $37.15	Professional	26	$9.33	$11.75	$37.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $61.66 / $100.00	Professional		$14.79	$61.66	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $128.82	Professional		$46.77	$69.18	$128.82