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 $85.11 / $125.89 / $331.13	Professional	26	$85.11	$125.89	$331.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $165.96	Professional	26	$85.11	$120.23	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $120.23 / $208.93	Professional	26	$81.28	$120.23	$208.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $489.78 / $489.78	Professional	26	$120.23	$489.78	$489.78
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $85.11 / $85.11	Professional	26	$81.28	$85.11	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $223.87	Professional	26	$81.28	$128.82	$223.87