Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.81 / $375.00 / $390.82	Facility	26	$135.81	$375.00	$390.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $255.20 / $375.00	Professional	26	$93.63	$255.20	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $145.76 / $145.76 / $145.76	Professional	26	$145.76	$145.76	$145.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.62 / $114.99 / $204.76	Professional	26	$80.62	$114.99	$204.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.09 / $154.81 / $255.49	Professional	26	$89.09	$154.81	$255.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $94.59 / $118.68 / $224.99	Professional	26	$94.59	$118.68	$224.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.64 / $121.40 / $202.17	Professional	26	$85.64	$121.40	$202.17