Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	26	$35.19	$35.19	$35.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $103.39 / $329.23	Professional		$93.34	$103.39	$329.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $36.78 / $118.64	Professional	26	$35.01	$36.78	$118.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $111.00 / $136.43	Professional		$99.44	$111.00	$136.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $44.60 / $50.98	Professional	26	$40.14	$44.60	$50.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $123.63 / $247.80	Professional		$83.94	$123.63	$247.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $47.56 / $93.11	Professional	26	$32.31	$47.56	$93.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $135.51 / $201.82	Professional		$106.65	$135.51	$201.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $48.58 / $71.15	Professional	26	$42.24	$48.58	$71.15
United Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $106.54 / $188.59	Professional		$78.34	$106.54	$188.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.55 / $43.67 / $79.20	Professional	26	$31.55	$43.67	$79.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $125.47 / $164.90	Professional		$82.84	$125.47	$164.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $45.02 / $61.39	Professional	26	$30.29	$45.02	$61.39