Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.75 / $97.75 / $178.20	Facility	26	$97.75	$97.75	$178.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.36 / $235.51 / $379.91	Professional		$186.36	$235.51	$379.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $259.04 / $536.79	Professional		$159.06	$259.04	$536.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $274.64 / $509.20	Professional		$116.06	$274.64	$509.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $279.12 / $733.30	Professional		$236.18	$279.12	$733.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.85 / $129.82 / $341.06	Professional	26	$109.85	$129.82	$341.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $190.30 / $383.18	Professional		$104.99	$190.30	$383.18
United Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $289.08 / $607.58	Professional		$198.75	$289.08	$607.58