Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.34 / $209.34 / $209.34	Facility	26	$209.34	$209.34	$209.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.25 / $638.84 / $1,029.33	Professional		$546.25	$638.84	$1,029.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $174.37 / $209.34 / $334.94	Professional	26	$174.37	$209.34	$334.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.63 / $877.65 / $1,407.86	Professional		$638.63	$877.65	$1,407.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $206.70 / $284.07 / $455.68	Professional	26	$206.70	$284.07	$455.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.14 / $898.90 / $1,208.95	Professional		$573.14	$898.90	$1,208.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $192.02 / $291.13 / $408.81	Professional	26	$192.02	$291.13	$408.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.03 / $976.63 / $1,223.88	Professional		$649.03	$976.63	$1,223.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $209.34 / $315.00 / $394.75	Professional	26	$209.34	$315.00	$394.75
United Facility/Professional Professional Modifier Low / Median / High Price $760.10 / $1,004.40 / $1,726.32	Professional		$760.10	$1,004.40	$1,726.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $250.21 / $332.99 / $514.28	Professional	26	$250.21	$332.99	$514.28