Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $143.46 / $307.60	Facility	26	$85.00	$143.46	$307.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.05 / $425.00 / $831.67	Professional		$423.05	$425.00	$831.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $85.00 / $155.88	Professional	26	$73.51	$85.00	$155.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $115.00 / $115.00 / $115.00	Professional	26	$115.00	$115.00	$115.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.36 / $543.79 / $1,167.76	Professional		$392.36	$543.79	$1,167.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.25 / $96.37 / $184.79	Professional	26	$67.25	$96.37	$184.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.05 / $759.24 / $1,081.18	Professional		$464.05	$759.24	$1,081.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.38 / $121.85 / $188.39	Professional	26	$74.38	$121.85	$188.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.64 / $442.90 / $2,312.73	Professional		$402.64	$442.90	$2,312.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.08 / $74.89 / $375.43	Professional	26	$68.08	$74.89	$375.43
United Facility/Professional Professional Modifier Low / Median / High Price $405.95 / $533.28 / $1,012.14	Professional		$405.95	$533.28	$1,012.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.89 / $90.95 / $165.04	Professional	26	$63.89	$90.95	$165.04