Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.28 / $293.83 / $375.00	Facility	26	$114.28	$293.83	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $200.00 / $375.00	Professional	26	$93.63	$200.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.01 / $112.01 / $112.01	Professional	26	$112.01	$112.01	$112.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $90.78 / $179.72	Professional	26	$65.34	$90.78	$179.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.34 / $124.25 / $204.70	Professional	26	$68.34	$124.25	$204.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.77 / $116.00 / $358.16	Professional	26	$72.77	$116.00	$358.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.55 / $89.89 / $147.38	Professional	26	$66.55	$89.89	$147.38