Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $91.20	Professional		$33.11	$50.12	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $36.31	Professional	26	$18.20	$21.88	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $104.71	Professional		$37.15	$72.44	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $41.69	Professional	26	$21.38	$28.18	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $97.72	Professional		$40.74	$61.66	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $51.29	Professional	26	$23.44	$30.20	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $154.88	Professional		$48.98	$83.18	$154.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $32.36 / $100.00	Professional	26	$19.05	$32.36	$100.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $53.70	Professional		$48.98	$53.70	$53.70
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $20.89 / $23.44	Professional	26	$19.95	$20.89	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $95.50	Professional		$37.15	$58.88	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $44.67	Professional	26	$22.91	$30.90	$44.67