Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $346.74	Professional		$190.55	$239.88	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $467.74	Professional		$218.78	$316.23	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $512.86	Professional		$208.93	$338.84	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $1,380.38	Professional		$251.19	$354.81	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $831.76	Professional	26	$107.15	$151.36	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $316.23	Professional		$223.87	$251.19	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54