Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.60 / $57.60 / $104.93	Facility	26	$57.60	$57.60	$104.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $140.16 / $225.51	Professional		$108.34	$140.16	$225.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.61 / $231.61 / $231.61	Professional		$231.61	$231.61	$231.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $154.86 / $294.27	Professional		$95.09	$154.86	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $158.47 / $294.67	Professional		$96.17	$158.47	$294.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $157.63 / $414.13	Professional		$133.38	$157.63	$414.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.53 / $76.26 / $200.33	Professional	26	$64.53	$76.26	$200.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $108.12 / $217.61	Professional		$61.40	$108.12	$217.61
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $160.86 / $346.00	Professional		$115.32	$160.86	$346.00