Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.51 / $103.44 / $129.56	Facility	26	$98.51	$103.44	$129.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $232.35 / $315.64	Professional		$165.44	$232.35	$315.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.47 / $364.17 / $525.12	Professional		$256.47	$364.17	$525.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $240.13 / $473.73	Professional		$176.73	$240.13	$473.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.91 / $392.39 / $523.17	Professional		$313.91	$392.39	$523.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $118.21 / $147.77 / $197.02	Professional	26	$118.21	$147.77	$197.02
United Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $322.00 / $545.60	Professional		$203.15	$322.00	$545.60