Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.62 / $70.62 / $85.47	Facility	26	$70.62	$70.62	$85.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $120.87 / $183.30	Professional		$103.66	$120.87	$183.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $67.43 / $101.60	Professional	26	$59.25	$67.43	$101.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $115.90 / $121.80	Professional		$105.08	$115.90	$121.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.53 / $66.08 / $70.14	Professional	26	$60.53	$66.08	$70.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $168.13 / $239.30	Professional		$115.80	$168.13	$239.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.12 / $96.00 / $132.16	Professional	26	$73.12	$96.00	$132.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $160.91 / $248.00	Professional		$115.73	$160.91	$248.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.81 / $92.90 / $143.16	Professional	26	$66.81	$92.90	$143.16
United Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $176.25 / $293.54	Professional		$126.01	$176.25	$293.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.88 / $99.85 / $157.97	Professional	26	$74.88	$99.85	$157.97