Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $128.59 / $291.50	Professional	26	$90.00	$128.59	$291.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.77 / $116.48 / $170.12	Professional	26	$86.77	$116.48	$170.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.36 / $110.93 / $180.08	Professional	26	$80.36	$110.93	$180.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.14 / $128.19 / $309.14	Professional	26	$81.14	$128.19	$309.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.54 / $145.60 / $304.58	Professional	26	$81.54	$145.60	$304.58