Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $257.04 / $263.03	Facility	26	$251.19	$257.04	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,290.87	Professional		$954.99	$1,122.02	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $2,238.72	Professional		$1,047.13	$1,819.70	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,951.21	Professional		$1,148.15	$1,698.24	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $4,265.80	Professional		$1,148.15	$1,412.54	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $389.05 / $4,265.80	Professional	26	$323.59	$389.05	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,884.03	Professional		$1,023.29	$1,479.11	$2,884.03