Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $95.50	Facility	26	$60.26	$60.26	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $812.83	Professional		$295.12	$363.08	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $173.78	Professional	26	$50.12	$61.66	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $707.95	Professional		$295.12	$457.09	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $112.20	Professional	26	$56.23	$75.86	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $741.31	Professional		$309.03	$489.78	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $117.49	Professional	26	$60.26	$85.11	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $870.96	Professional		$407.38	$575.44	$870.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $85.11 / $263.03	Professional	26	$60.26	$85.11	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $537.03	Professional		$354.81	$407.38	$537.03
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $60.26 / $89.13	Professional	26	$54.95	$60.26	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $758.58	Professional		$288.40	$436.52	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $79.43 / $128.82	Professional	26	$57.54	$79.43	$128.82