Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.64 / $51.64 / $51.64	Facility	26	$51.64	$51.64	$51.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $236.22 / $560.53	Professional		$181.55	$236.22	$560.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $57.89 / $152.47	Professional	26	$51.64	$57.89	$152.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.56 / $337.26 / $381.64	Professional		$282.56	$337.26	$381.64
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $65.98 / $77.84	Professional	26	$61.05	$65.98	$77.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.60 / $360.05 / $587.24	Professional		$176.60	$360.05	$587.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.51 / $71.25 / $136.58	Professional	26	$46.51	$71.25	$136.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $266.68 / $449.92	Professional		$206.73	$266.68	$449.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.26 / $72.16 / $107.00	Professional	26	$59.26	$72.16	$107.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $280.63 / $544.70	Professional		$179.97	$280.63	$544.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $64.95 / $119.08	Professional	26	$28.98	$64.95	$119.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $224.96 / $292.45	Professional		$165.38	$224.96	$292.45
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $48.10 / $63.04 / $81.95	Professional	26	$48.10	$63.04	$81.95