Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $174.41 / $375.00 / $505.24	Facility	26	$174.41	$375.00	$505.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.54 / $291.50 / $375.00	Professional	26	$114.54	$291.50	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.11 / $185.40 / $204.21	Professional	26	$100.11	$185.40	$204.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.24 / $147.88 / $260.45	Professional	26	$104.24	$147.88	$260.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.99 / $200.14 / $328.56	Professional	26	$114.99	$200.14	$328.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $120.99 / $151.91 / $287.80	Professional	26	$120.99	$151.91	$287.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.77 / $149.25 / $255.70	Professional	26	$95.77	$149.25	$255.70