Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $375.00 / $375.00 / $389.34	Facility	26	$375.00	$375.00	$389.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.26 / $220.40 / $375.00	Professional	26	$85.26	$220.40	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $142.25 / $142.25 / $151.41	Professional	26	$142.25	$142.25	$151.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.31 / $103.94 / $216.20	Professional	26	$80.31	$103.94	$216.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.66 / $154.22 / $259.95	Professional	26	$93.66	$154.22	$259.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $92.31 / $106.03 / $219.60	Professional	26	$92.31	$106.03	$219.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.76 / $118.70 / $189.10	Professional	26	$86.76	$118.70	$189.10