Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.94 / $51.94 / $51.94	Facility	26	$51.94	$51.94	$51.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $201.67 / $797.20	Professional		$183.34	$201.67	$797.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $56.47 / $168.79	Professional	26	$51.94	$56.47	$168.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $340.57 / $385.38	Professional		$284.45	$340.57	$385.38
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $65.98 / $78.31	Professional	26	$61.05	$65.98	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $361.86 / $590.10	Professional		$177.79	$361.86	$590.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $71.67 / $136.58	Professional	26	$46.78	$71.67	$136.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.18 / $269.83 / $455.32	Professional		$209.18	$269.83	$455.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.61 / $72.44 / $107.00	Professional	26	$59.61	$72.44	$107.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $278.24 / $483.78	Professional		$182.13	$278.24	$483.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.88 / $69.15 / $134.69	Professional	26	$31.88	$69.15	$134.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $227.66 / $295.95	Professional		$167.34	$227.66	$295.95
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $48.38 / $63.42 / $82.45	Professional	26	$48.38	$63.42	$82.45