Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $88.88 / $270.10	Professional		$83.95	$88.88	$270.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $46.77 / $122.85	Professional	26	$40.95	$46.77	$122.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $99.65 / $113.89	Professional		$97.65	$99.65	$113.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $51.56 / $58.93	Professional	26	$50.23	$51.56	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $126.12 / $215.19	Professional		$80.34	$126.12	$215.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.45 / $65.45 / $119.11	Professional	26	$42.45	$65.45	$119.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $123.93 / $190.34	Professional		$93.18	$123.93	$190.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.17 / $63.43 / $103.09	Professional	26	$49.17	$63.43	$103.09
United Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $103.26 / $220.82	Professional		$75.37	$103.26	$220.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.34 / $53.97 / $95.07	Professional	26	$41.34	$53.97	$95.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $107.16 / $129.88	Professional		$91.41	$107.16	$129.88
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $48.24 / $56.55 / $67.80	Professional	26	$48.24	$56.55	$67.80