Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.02 / $34.02 / $34.02	Facility	26	$34.02	$34.02	$34.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $106.06 / $617.92	Professional		$93.10	$106.06	$617.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.02 / $35.29 / $109.96	Professional	26	$34.02	$35.29	$109.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $121.35 / $384.02	Professional		$113.06	$121.35	$384.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $44.50 / $47.08 / $53.81	Professional	26	$44.50	$47.08	$53.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $143.13 / $377.49	Professional		$88.63	$143.13	$377.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $47.46 / $91.48	Professional	26	$30.81	$47.46	$91.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $139.69 / $211.77	Professional		$114.58	$139.69	$211.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.33 / $47.87 / $69.95	Professional	26	$39.33	$47.87	$69.95
United Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $135.99 / $282.87	Professional		$94.18	$135.99	$282.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.06 / $43.67 / $71.73	Professional	26	$30.06	$43.67	$71.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $124.35 / $161.66	Professional		$91.66	$124.35	$161.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.91 / $41.84 / $54.39	Professional	26	$31.91	$41.84	$54.39