Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $53.70 / $53.70	Facility	26	$47.86	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $85.11	Professional		$52.48	$64.57	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $58.88	Professional	26	$38.02	$44.67	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $128.82	Professional		$60.26	$87.10	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $87.10	Professional	26	$43.65	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $134.90	Professional		$69.18	$95.50	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $95.50	Professional	26	$48.98	$66.07	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $288.40	Professional		$64.57	$91.20	$288.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $63.10	Professional	26	$44.67	$44.67	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $91.20	Professional		$63.10	$64.57	$91.20
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $44.67 / $60.26	Professional	26	$43.65	$44.67	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $141.25	Professional		$64.57	$91.20	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $64.57 / $100.00	Professional	26	$45.71	$64.57	$100.00