Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.70 / $12.70 / $12.70	Facility	26	$12.70	$12.70	$12.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $97.38 / $204.11	Professional		$81.04	$97.38	$204.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $13.12 / $40.86	Professional	26	$12.55	$13.12	$40.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $107.81 / $122.00	Professional		$73.67	$107.81	$122.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $17.11 / $19.55	Professional	26	$15.40	$17.11	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $95.42 / $209.42	Professional		$69.84	$95.42	$209.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $17.46 / $34.29	Professional	26	$11.76	$17.46	$34.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $123.20 / $168.96	Professional		$96.91	$123.20	$168.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.28 / $26.46	Professional	26	$15.14	$18.28	$26.46
United Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $89.86 / $158.53	Professional		$60.67	$89.86	$158.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $15.16 / $25.36	Professional	26	$11.51	$15.16	$25.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $117.33 / $151.71	Professional		$61.35	$117.33	$151.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $16.19 / $22.08	Professional	26	$8.74	$16.19	$22.08