Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.63 / $355.76 / $375.00	Facility	26	$144.63	$355.76	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $247.12 / $375.00	Professional	26	$93.63	$247.12	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $152.88 / $152.88 / $152.88	Professional	26	$152.88	$152.88	$152.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.77 / $115.54 / $192.57	Professional	26	$79.77	$115.54	$192.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.03 / $146.37 / $249.90	Professional	26	$92.03	$146.37	$249.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $88.04 / $140.36 / $209.44	Professional	26	$88.04	$140.36	$209.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.49 / $115.41 / $194.63	Professional	26	$85.49	$115.41	$194.63