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 / $20.87	Facility	26	$20.87	$20.87	$20.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $70.39 / $124.57	Professional		$53.88	$70.39	$124.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $20.69 / $37.72	Professional	26	$17.44	$20.69	$37.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $111.84 / $179.18	Professional		$79.84	$111.84	$179.18
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 $52.05 / $99.18 / $156.37	Professional		$52.05	$99.18	$156.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $26.94 / $38.58	Professional	26	$21.02	$26.94	$38.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $111.48 / $155.00	Professional		$82.50	$111.48	$155.00
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 $53.55 / $107.04 / $173.82	Professional		$53.55	$107.04	$173.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.72 / $28.00 / $46.08	Professional	26	$20.72	$28.00	$46.08