Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.62 / $100.00 / $100.00	Facility	26	$88.62	$100.00	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $104.42 / $291.50	Professional	26	$90.00	$104.42	$291.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.39 / $95.60 / $139.62	Professional	26	$73.39	$95.60	$139.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.30 / $93.19 / $167.48	Professional	26	$66.30	$93.19	$167.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.94 / $105.77 / $252.62	Professional	26	$66.94	$105.77	$252.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.09 / $117.22 / $183.15	Professional	26	$62.09	$117.22	$183.15