Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $125.89 / $151.36	Facility	26	$97.72	$125.89	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $288.40	Professional		$134.90	$181.97	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $331.13	Professional		$165.96	$223.87	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $398.11	Professional		$173.78	$218.78	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $489.78	Professional		$162.18	$269.15	$489.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $295.12	Professional	26	$85.11	$141.25	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $186.21	Professional		$162.18	$173.78	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $338.84	Professional		$165.96	$223.87	$338.84