Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,148.15	Professional		$275.42	$457.09	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $501.19	Professional		$323.59	$398.11	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $870.96	Professional		$239.88	$489.78	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $616.60	Professional		$275.42	$323.59	$616.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $114.82	Professional	26	$75.86	$85.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $812.83	Professional		$263.03	$407.38	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $446.68	Professional		$281.84	$323.59	$446.68