Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.33 / $34.92 / $903.78	Facility	26	$31.33	$34.92	$903.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $61.43 / $215.00	Professional		$44.52	$61.43	$215.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $41.56 / $148.60	Professional	26	$26.63	$41.56	$148.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $92.96	Professional		$59.04	$60.16	$92.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $35.97 / $96.23	Professional	26	$33.63	$35.97	$96.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $62.23 / $124.15	Professional		$47.23	$62.23	$124.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $41.41 / $89.36	Professional	26	$27.71	$41.41	$89.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $67.14 / $112.61	Professional		$51.66	$67.14	$112.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $40.31 / $65.11	Professional	26	$30.31	$40.31	$65.11
United Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $57.63 / $104.24	Professional		$42.76	$57.63	$104.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.17 / $35.08 / $55.39	Professional	26	$26.17	$35.08	$55.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $59.41 / $72.56	Professional		$45.87	$59.41	$72.56
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $26.91 / $34.86 / $42.51	Professional	26	$26.91	$34.86	$42.51