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 / $162.46	Facility	26	$126.00	$126.00	$162.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $425.00 / $1,389.66	Professional		$329.11	$425.00	$1,389.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $126.00 / $389.19	Professional	26	$85.16	$126.00	$389.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $410.31 / $452.55 / $561.13	Professional		$410.31	$452.55	$561.13
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $90.46 / $96.33 / $116.56	Professional	26	$90.46	$96.33	$116.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $525.16 / $874.11	Professional		$244.50	$525.16	$874.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.58 / $103.59 / $198.00	Professional	26	$65.58	$103.59	$198.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $369.65 / $626.01	Professional		$286.55	$369.65	$626.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.60 / $101.74 / $162.27	Professional	26	$83.60	$101.74	$162.27
United Facility/Professional Professional Modifier Low / Median / High Price $254.65 / $381.97 / $770.24	Professional		$254.65	$381.97	$770.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.17 / $91.31 / $149.16	Professional	26	$48.17	$91.31	$149.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.24 / $311.77 / $405.31	Professional		$229.24	$311.77	$405.31
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $67.81 / $88.94 / $115.62	Professional	26	$67.81	$88.94	$115.62