Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $74.13 / $223.87	Facility	26	$57.54	$74.13	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $223.87	Professional		$107.15	$141.25	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $251.19	Professional		$91.20	$138.04	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $354.81	Professional		$107.15	$177.83	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $489.78	Professional		$138.04	$169.82	$489.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $81.28 / $229.09	Professional	26	$66.07	$81.28	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $245.47	Professional		$64.57	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $309.03	Professional		$109.65	$154.88	$309.03