Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $154.88 / $173.78	Facility	26	$141.25	$154.88	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $389.05	Professional		$169.82	$204.17	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $363.08	Professional		$120.23	$218.78	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $467.74	Professional		$158.49	$257.04	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $707.95	Professional		$218.78	$263.03	$707.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $194.98 / $562.34	Professional	26	$154.88	$194.98	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $208.93 / $407.38	Professional		$60.26	$208.93	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $457.09	Professional		$162.18	$229.09	$457.09