Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.50 / $113.68 / $165.76	Facility	26	$0.50	$113.68	$165.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.80 / $52.02 / $96.36	Facility	53	$51.80	$52.02	$96.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.93 / $330.43 / $432.51	Professional		$228.93	$330.43	$432.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.06 / $114.44 / $280.00	Professional	26	$99.06	$114.44	$280.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.49 / $357.73 / $505.74	Professional		$273.49	$357.73	$505.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.30 / $151.57 / $213.50	Professional	26	$118.30	$151.57	$213.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.36 / $120.36 / $120.36	Facility	26	$120.36	$120.36	$120.36
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.64 / $52.64 / $52.64	Facility	53	$52.64	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.47 / $384.75 / $648.21	Professional		$289.47	$384.75	$648.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.24 / $156.16 / $272.54	Professional	26	$122.24	$156.16	$272.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.66 / $359.33 / $513.33	Professional		$291.66	$359.33	$513.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $128.01 / $157.71 / $225.30	Professional	26	$128.01	$157.71	$225.30
United Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $405.67 / $580.29	Professional		$278.39	$405.67	$580.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.87 / $164.22 / $243.18	Professional	26	$113.87	$164.22	$243.18