Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.67 / $375.00 / $500.79	Facility	26	$170.67	$375.00	$500.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.43 / $265.00 / $412.50	Professional	26	$106.43	$265.00	$412.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.99 / $159.65 / $203.17	Professional	26	$94.99	$159.65	$203.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.08 / $146.15 / $258.24	Professional	26	$103.08	$146.15	$258.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.40 / $198.37 / $320.98	Professional	26	$112.40	$198.37	$320.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $120.37 / $148.41 / $286.32	Professional	26	$120.37	$148.41	$286.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.24 / $154.29 / $261.69	Professional	26	$97.24	$154.29	$261.69