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 / $173.78	Facility	26	$125.89	$125.89	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $1,288.25	Professional		$288.40	$467.74	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $407.38	Professional	26	$85.11	$141.25	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $331.13 / $467.74	Professional		$114.82	$331.13	$467.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $104.71 / $131.83	Professional	26	$97.72	$104.71	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $851.14	Professional		$239.88	$467.74	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $102.33 / $190.55	Professional	26	$64.57	$102.33	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $630.96	Professional		$281.84	$331.13	$630.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $93.33 / $128.82	Professional	26	$83.18	$93.33	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $776.25	Professional		$263.03	$416.87	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $91.20 / $154.88	Professional	26	$54.95	$91.20	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $457.09	Professional		$288.40	$331.13	$457.09
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $97.72 / $128.82	Professional	26	$85.11	$97.72	$128.82