Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $342.18 / $342.18 / $660.77	Facility	26	$342.18	$342.18	$660.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.72 / $1,351.62 / $2,748.59	Professional		$1,234.72	$1,351.62	$2,748.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $342.18 / $428.91 / $966.56	Professional	26	$342.18	$428.91	$966.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $506.01 / $523.46 / $842.60	Professional	26	$506.01	$523.46	$842.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.55 / $1,995.19 / $3,938.79	Professional		$1,301.55	$1,995.19	$3,938.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $390.56 / $625.88 / $1,096.81	Professional	26	$390.56	$625.88	$1,096.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.06 / $944.55 / $1,595.32	Professional		$458.06	$944.55	$1,595.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.79 / $2,120.15 / $3,670.14	Professional		$1,418.79	$2,120.15	$3,670.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $459.49 / $638.45 / $1,149.13	Professional	26	$459.49	$638.45	$1,149.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,369.43 / $1,614.72 / $9,331.00	Professional		$1,369.43	$1,614.72	$9,331.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $429.85 / $501.49 / $2,985.92	Professional	26	$429.85	$501.49	$2,985.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.73 / $1,847.62 / $3,694.33	Professional		$1,319.73	$1,847.62	$3,694.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $391.21 / $596.26 / $1,108.57	Professional	26	$391.21	$596.26	$1,108.57