Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $126.00	Facility	26	$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.13 / $425.00 / $1,350.98	Professional		$329.13	$425.00	$1,350.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $472.52 / $485.33 / $570.41	Professional		$472.52	$485.33	$570.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.88 / $529.79 / $860.53	Professional		$240.88	$529.79	$860.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $362.75 / $613.75	Professional		$281.20	$362.75	$613.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.93 / $92.39 / $127.40	Professional	26	$75.93	$92.39	$127.40
United Facility/Professional Professional Modifier Low / Median / High Price $255.69 / $375.53 / $798.47	Professional		$255.69	$375.53	$798.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $306.32 / $398.22	Professional		$224.96	$306.32	$398.22