Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $61.66 / $138.04	Facility	26	$48.98	$61.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $302.00	Professional		$169.82	$204.17	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $371.54	Professional		$131.83	$199.53	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $436.52	Professional		$151.36	$263.03	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $776.25	Professional		$199.53	$263.03	$776.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $194.98	Professional	26	$56.23	$69.18	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $186.21 / $371.54	Professional		$58.88	$186.21	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $467.74	Professional		$162.18	$229.09	$467.74