Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $58.88 / $91.20	Facility	26	$57.54	$58.88	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $467.74	Professional		$194.98	$251.19	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $53.70 / $85.11	Professional	26	$43.65	$53.70	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $524.81	Professional		$234.42	$363.08	$524.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $107.15	Professional	26	$53.70	$74.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $588.84	Professional		$229.09	$363.08	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $79.43 / $123.03	Professional	26	$52.48	$79.43	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $891.25	Professional		$501.19	$549.54	$891.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $87.10	Professional	26	$79.43	$79.43	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $446.68	Professional		$251.19	$354.81	$446.68
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $54.95 / $79.43	Professional	26	$52.48	$54.95	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $524.81	Professional		$223.87	$331.13	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $117.49	Professional	26	$53.70	$77.62	$117.49