Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $223.87 / $416.87	Facility	26	$123.03	$223.87	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $134.90 / $371.54	Professional	26	$91.20	$134.90	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $186.21	Professional	26	$89.13	$125.89	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $154.88 / $263.03	Professional	26	$93.33	$154.88	$263.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $123.03 / $229.09	Professional	26	$97.72	$123.03	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $213.80	Professional	26	$83.18	$109.65	$213.80