Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $794.33	Professional		$218.78	$302.00	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $177.83	Professional	26	$51.29	$74.13	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $302.00 / $389.05	Professional		$74.13	$302.00	$389.05
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $67.61 / $93.33	Professional	26	$63.10	$67.61	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $676.08	Professional		$218.78	$363.08	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $67.61 / $123.03	Professional	26	$44.67	$67.61	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $457.09	Professional		$257.04	$302.00	$457.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $63.10 / $87.10	Professional	26	$56.23	$63.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $549.54	Professional		$204.17	$338.84	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $63.10 / $107.15	Professional	26	$34.67	$63.10	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $389.05	Professional		$251.19	$288.40	$389.05
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $66.07 / $87.10	Professional	26	$57.54	$66.07	$87.10