Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $17.38 / $28.18	Facility		$5.13	$17.38	$28.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $42.66 / $53.70	Professional		$15.14	$42.66	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $46.77 / $138.04	Professional	26	$18.20	$46.77	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.77 / $14.79	Facility		$7.08	$9.77	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $66.07	Professional		$50.12	$50.12	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $47.86 / $61.66	Professional	26	$22.39	$47.86	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.29 / $25.12	Facility		$1.91	$2.29	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $69.18	Professional		$43.65	$43.65	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $64.57	Professional	26	$40.74	$40.74	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $169.82	Professional		$67.61	$67.61	$169.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	26	$63.10	$63.10	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $52.48	Professional		$45.71	$47.86	$52.48
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $44.67 / $48.98	Professional	26	$42.66	$44.67	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $67.61	Professional		$19.05	$28.84	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.84 / $66.07	Professional	26	$19.05	$28.84	$66.07