Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $331.13	Professional		$85.11	$120.23	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $138.04 / $177.83	Professional		$56.23	$138.04	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $302.00	Professional		$89.13	$141.25	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $177.83	Professional		$114.82	$134.90	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $48.98 / $67.61	Professional	26	$43.65	$48.98	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $239.88	Professional		$97.72	$147.91	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $186.21	Professional		$95.50	$138.04	$186.21