Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $43.65 / $52.48	Facility	26	$33.11	$43.65	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $134.90	Professional		$79.43	$95.50	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.11 / $57.54	Professional	26	$28.18	$33.11	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $173.78	Professional		$89.13	$120.23	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $41.69 / $60.26	Professional	26	$32.36	$41.69	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $181.97	Professional		$95.50	$125.89	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $64.57	Professional	26	$33.88	$44.67	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $426.58	Professional		$89.13	$138.04	$426.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $44.67 / $48.98	Professional	26	$29.51	$44.67	$48.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $100.00	Professional		$89.13	$97.72	$100.00
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $32.36 / $35.48	Professional	26	$30.90	$32.36	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $190.55	Professional		$91.20	$128.82	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $66.07	Professional	26	$33.11	$45.71	$66.07