Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,047.13	Professional		$426.58	$549.54	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $104.71 / $177.83	Professional	26	$75.86	$104.71	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $870.96	Professional		$457.09	$645.65	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $100.00 / $138.04	Professional	26	$72.44	$100.00	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $831.76	Professional		$371.54	$436.52	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $69.18 / $138.04	Professional	26	$64.57	$69.18	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $1,412.54	Professional		$630.96	$645.65	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $102.33 / $223.87	Professional	26	$100.00	$102.33	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $457.09	Professional		$407.38	$446.68	$457.09
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $70.79 / $70.79	Professional	26	$69.18	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,096.48	Professional		$363.08	$602.56	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $97.72 / $162.18	Professional	26	$63.10	$97.72	$162.18