Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.23 / $15.85	Facility	26	$10.00	$10.23	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $85.11	Professional		$42.66	$52.48	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $95.50	Professional		$52.48	$66.07	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $120.23	Professional		$53.70	$74.13	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $338.84	Professional		$48.98	$74.13	$338.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $30.20	Professional	26	$9.12	$14.13	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $83.18	Professional		$48.98	$52.48	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $117.49	Professional		$52.48	$75.86	$117.49