Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $87.10 / $114.82	Facility	26	$72.44	$87.10	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $302.00	Professional		$138.04	$169.82	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $79.43 / $251.19	Professional	26	$61.66	$79.43	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $302.00	Professional		$151.36	$208.93	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $89.13 / $128.82	Professional	26	$69.18	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $323.59	Professional		$162.18	$213.80	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $138.04	Professional	26	$69.18	$91.20	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $776.25	Professional		$158.49	$245.47	$776.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $97.72 / $398.11	Professional	26	$63.10	$97.72	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $234.42	Professional		$154.88	$173.78	$234.42
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $69.18 / $87.10	Professional	26	$66.07	$69.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $323.59	Professional		$151.36	$218.78	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $93.33 / $141.25	Professional	26	$67.61	$93.33	$141.25