Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.65 / $218.65 / $431.19	Facility	26	$218.65	$218.65	$431.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $972.13 / $1,949.34	Professional		$886.22	$972.13	$1,949.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.65 / $262.37 / $754.61	Professional	26	$218.65	$262.37	$754.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $322.70 / $389.46 / $539.04	Professional	26	$322.70	$389.46	$539.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.33 / $1,394.91 / $2,853.12	Professional		$936.33	$1,394.91	$2,853.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $249.85 / $399.93 / $716.57	Professional	26	$249.85	$399.93	$716.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $723.46 / $1,221.94	Professional		$292.25	$723.46	$1,221.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.19 / $1,479.10 / $2,612.19	Professional		$994.19	$1,479.10	$2,612.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $300.07 / $405.21 / $733.32	Professional	26	$300.07	$405.21	$733.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.74 / $1,172.50 / $5,504.00	Professional		$990.74	$1,172.50	$5,504.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $274.14 / $319.83 / $1,651.20	Professional	26	$274.14	$319.83	$1,651.20
United Facility/Professional Professional Modifier Low / Median / High Price $935.64 / $1,273.46 / $2,164.71	Professional		$935.64	$1,273.46	$2,164.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $249.87 / $365.24 / $625.59	Professional	26	$249.87	$365.24	$625.59