Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $88.54	Facility	26	$49.06	$49.06	$88.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $93.05 / $187.46	Professional		$83.20	$93.05	$187.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $159.24 / $160.97	Professional		$90.06	$159.24	$160.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $110.01 / $194.28	Professional		$66.34	$110.01	$194.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $122.82 / $209.97	Professional		$84.63	$122.82	$209.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $111.50 / $390.00	Professional		$94.35	$111.50	$390.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $65.33 / $214.50	Professional	26	$55.28	$65.33	$214.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $76.97 / $153.07	Professional		$40.85	$76.97	$153.07
United Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $136.75 / $233.53	Professional		$88.43	$136.75	$233.53