Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $77.62	Facility	26	$48.98	$48.98	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $229.09	Professional		$89.13	$112.20	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $48.98 / $109.65	Professional	26	$31.62	$48.98	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $218.78	Professional		$104.71	$147.91	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $63.10 / $95.50	Professional	26	$38.02	$63.10	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $245.47	Professional		$87.10	$134.90	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $93.33	Professional	26	$32.36	$48.98	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $416.87	Professional		$158.49	$173.78	$416.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $75.86 / $204.17	Professional	26	$69.18	$75.86	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $165.96	Professional		$104.71	$112.20	$165.96
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $48.98 / $75.86	Professional	26	$45.71	$48.98	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $234.42	Professional		$100.00	$141.25	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $85.11	Professional	26	$34.67	$47.86	$85.11