Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $305.50 / $305.50 / $592.07	Facility	26	$305.50	$305.50	$592.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.80 / $1,217.88 / $2,402.21	Professional		$1,112.80	$1,217.88	$2,402.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $305.50 / $359.16 / $902.24	Professional	26	$305.50	$359.16	$902.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $404.53 / $466.77 / $593.00	Professional	26	$404.53	$466.77	$593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.23 / $1,856.33 / $3,550.49	Professional		$1,173.23	$1,856.33	$3,550.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $349.33 / $559.13 / $999.94	Professional	26	$349.33	$559.13	$999.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.42 / $1,922.53 / $3,303.68	Professional		$1,325.42	$1,922.53	$3,303.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $412.39 / $570.78 / $1,026.50	Professional	26	$412.39	$570.78	$1,026.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.79 / $1,455.19 / $6,914.00	Professional		$1,233.79	$1,455.19	$6,914.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $383.28 / $447.16 / $2,143.34	Professional	26	$383.28	$447.16	$2,143.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.55 / $1,764.23 / $3,330.12	Professional		$1,192.55	$1,764.23	$3,330.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $349.74 / $514.65 / $944.18	Professional	26	$349.74	$514.65	$944.18