Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.03 / $18.03 / $33.17	Facility	26	$18.03	$18.03	$33.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $84.86 / $141.85	Professional		$61.93	$84.86	$141.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $92.85 / $174.91	Professional		$41.31	$92.85	$174.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $72.45 / $118.02	Professional		$21.89	$72.45	$118.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $96.59 / $184.20	Professional		$45.53	$96.59	$184.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $93.07 / $264.89	Professional		$80.04	$93.07	$264.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $24.48 / $80.04	Professional	26	$20.71	$24.48	$80.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $78.39 / $133.88	Professional		$20.69	$78.39	$133.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $94.13 / $176.38	Professional		$45.87	$94.13	$176.38