Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $165.96 / $323.59	Facility	26	$91.20	$165.96	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $851.14	Professional		$371.54	$501.19	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.00 / $165.96	Professional	26	$69.18	$100.00	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $831.76	Professional		$426.58	$524.81	$831.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $138.04	Professional	26	$72.44	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,023.29	Professional		$467.74	$676.08	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $112.20 / $186.21	Professional	26	$74.13	$112.20	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $2,290.87	Professional		$436.52	$478.63	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $77.62 / $371.54	Professional	26	$70.79	$77.62	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,047.13	Professional		$398.11	$524.81	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $169.82	Professional	26	$64.57	$83.18	$169.82