Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $44.67 / $69.18	Facility	26	$43.65	$44.67	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $144.54	Professional		$63.10	$79.43	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $45.71 / $97.72	Professional	26	$38.02	$45.71	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $154.88	Professional		$72.44	$107.15	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $83.18	Professional	26	$43.65	$57.54	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $158.49	Professional		$77.62	$97.72	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $102.33	Professional	26	$46.77	$58.88	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $316.23	Professional		$72.44	$120.23	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $64.57 / $213.80	Professional	26	$38.02	$64.57	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $85.11	Professional		$74.13	$77.62	$85.11
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $41.69 / $46.77	Professional	26	$39.81	$41.69	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $144.54	Professional		$69.18	$97.72	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $89.13	Professional	26	$45.71	$60.26	$89.13