Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $93.33	Facility	26	$60.26	$60.26	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $331.13	Professional		$120.23	$138.04	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $229.09	Professional		$120.23	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $239.88	Professional		$109.65	$120.23	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $758.58	Professional		$162.18	$165.96	$758.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $251.19	Professional	26	$77.62	$77.62	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $117.49	Professional		$109.65	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $295.12	Professional		$131.83	$165.96	$295.12