Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $371.54 / $537.03	Facility	26	$173.78	$371.54	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $204.17 / $371.54	Professional	26	$112.20	$204.17	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $162.18 / $208.93	Professional	26	$95.50	$162.18	$208.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $158.49 / $229.09	Professional	26	$112.20	$158.49	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $194.98 / $331.13	Professional	26	$114.82	$194.98	$331.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $151.36 / $288.40	Professional	26	$123.03	$151.36	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $134.90 / $269.15	Professional	26	$95.50	$134.90	$269.15