Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.72 / $128.05 / $286.79	Facility	26	$56.72	$128.05	$286.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $90.03 / $250.63	Professional		$71.66	$90.03	$250.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.79 / $64.81 / $235.21	Professional	26	$52.79	$64.81	$235.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $142.74 / $402.77	Professional		$90.92	$142.74	$402.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $89.19 / $172.26	Professional	26	$63.08	$89.19	$172.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $175.33 / $307.04	Professional		$103.66	$175.33	$307.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.68 / $113.60 / $180.16	Professional	26	$69.68	$113.60	$180.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $106.47 / $672.18	Professional		$92.58	$106.47	$672.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $65.44 / $75.26 / $277.00	Professional	26	$65.44	$75.26	$277.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $148.27 / $338.75	Professional		$92.67	$148.27	$338.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.80 / $85.64 / $150.41	Professional	26	$67.80	$85.64	$150.41