Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $302.00 / $389.05	Facility	26	$251.19	$302.00	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,089.30	Professional		$891.25	$1,023.29	$2,089.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $275.42 / $660.69	Professional	26	$213.80	$275.42	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,819.70	Professional		$1,023.29	$1,318.26	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $323.59 / $446.68	Professional	26	$251.19	$323.59	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,819.70	Professional		$1,096.48	$1,412.54	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $371.54 / $489.78	Professional	26	$316.23	$371.54	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $2,884.03	Professional		$1,288.25	$2,884.03	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $870.96 / $870.96	Professional	26	$331.13	$870.96	$870.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $954.99	Professional		$851.14	$912.01	$954.99
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $234.42 / $234.42	Professional	26	$223.87	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,238.72	Professional		$1,096.48	$1,412.54	$2,238.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $398.11 / $630.96	Professional	26	$316.23	$398.11	$630.96