Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $147.91	Professional		$45.71	$61.66	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $72.44	Professional	26	$28.18	$36.31	$72.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	50	$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $141.25	Professional		$64.57	$87.10	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $75.86	Professional	26	$38.90	$52.48	$75.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $144.54 / $239.88	Professional	50	$93.33	$144.54	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $181.97	Professional		$53.70	$95.50	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $51.29 / $97.72	Professional	26	$32.36	$51.29	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $295.12	Professional		$85.11	$97.72	$295.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $117.49	Professional	26	$51.29	$60.26	$117.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $87.10	Professional		$56.23	$60.26	$87.10
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $36.31 / $54.95	Professional	26	$34.67	$36.31	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $173.78	Professional		$63.10	$102.33	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $53.70 / $89.13	Professional	26	$37.15	$53.70	$89.13