Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $290.70 / $290.70 / $290.70	Facility	26	$290.70	$290.70	$290.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.55 / $1,073.76 / $1,621.37	Professional		$1,034.55	$1,073.76	$1,621.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.88 / $1,438.92 / $2,084.23	Professional		$1,163.88	$1,438.92	$2,084.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.81 / $1,554.07 / $2,058.56	Professional		$1,218.81	$1,554.07	$2,058.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.74 / $1,489.72 / $1,915.35	Professional		$1,044.74	$1,489.72	$1,915.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $282.85 / $403.33 / $518.55	Professional	26	$282.85	$403.33	$518.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.85 / $1,576.20 / $2,662.50	Professional		$1,290.85	$1,576.20	$2,662.50