Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $975.60 / $4,623.68	Facility	26	$25.12	$975.60	$4,623.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $57.41 / $181.17	Professional		$43.75	$57.41	$181.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.78 / $112.22	Professional	26	$25.12	$35.78	$112.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $72.72 / $100.31	Professional		$55.42	$72.72	$100.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $41.76 / $57.61	Professional	26	$31.83	$41.76	$57.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $73.06 / $94.94	Professional		$49.59	$73.06	$94.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $43.76 / $57.72	Professional	26	$32.04	$43.76	$57.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $74.87 / $96.27	Professional		$60.78	$74.87	$96.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.89 / $42.98 / $55.26	Professional	26	$34.89	$42.98	$55.26
United Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $74.16 / $123.60	Professional		$54.80	$74.16	$123.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $46.21 / $81.70	Professional	26	$35.20	$46.21	$81.70