Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $323.59	Facility	26	$208.93	$208.93	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,288.25	Professional		$489.78	$645.65	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $223.87 / $512.86	Professional	26	$169.82	$223.87	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,230.27	Professional		$588.84	$851.14	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $275.42 / $398.11	Professional	26	$194.98	$275.42	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,380.38	Professional		$562.34	$912.01	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $295.12 / $467.74	Professional	26	$190.55	$295.12	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $3,235.94	Professional		$912.01	$1,000.00	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $316.23 / $1,071.52	Professional	26	$288.40	$316.23	$1,071.52
Select Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $645.65	Professional		$549.54	$630.96	$645.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $204.17 / $204.17	Professional	26	$190.55	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,445.44	Professional		$758.58	$891.25	$1,445.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $295.12 / $489.78	Professional	26	$251.19	$295.12	$489.78