Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $302.00	Professional		$169.82	$204.17	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $389.05	Professional		$181.97	$263.03	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $426.58	Professional		$173.78	$288.40	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $6,918.31	Professional		$208.93	$295.12	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $2,754.23	Professional	26	$54.95	$77.62	$2,754.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $218.78	Professional		$181.97	$208.93	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $467.74	Professional		$173.78	$269.15	$467.74