Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.87 / $20.87 / $25.62	Facility	26	$20.87	$20.87	$25.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $76.45 / $105.42	Professional		$52.29	$76.45	$105.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.11 / $20.87 / $44.14	Professional	26	$17.11	$20.87	$44.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $103.95 / $166.54	Professional		$76.78	$103.95	$166.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $27.12 / $43.12	Professional	26	$20.05	$27.12	$43.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $96.49 / $152.13	Professional		$54.15	$96.49	$152.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.62 / $27.52 / $39.28	Professional	26	$21.62	$27.52	$39.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $103.31 / $151.51	Professional		$76.45	$103.31	$151.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.87 / $27.26 / $37.60	Professional	26	$20.87	$27.26	$37.60
United Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $101.98 / $169.13	Professional		$56.18	$101.98	$169.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.73 / $28.05 / $44.43	Professional	26	$20.73	$28.05	$44.43