Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.58 / $49.58 / $49.58	Facility	26	$49.58	$49.58	$49.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $243.74 / $1,091.19	Professional		$208.43	$243.74	$1,091.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.58 / $55.00 / $160.43	Professional	26	$49.58	$55.00	$160.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $356.58 / $452.86	Professional		$320.92	$356.58	$452.86
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $58.58 / $63.79 / $81.01	Professional	26	$58.58	$63.79	$81.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $404.23 / $698.64	Professional		$223.79	$404.23	$698.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.37 / $67.88 / $133.00	Professional	26	$44.37	$67.88	$133.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $334.73 / $565.74	Professional		$259.48	$334.73	$565.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.57 / $68.83 / $103.47	Professional	26	$56.57	$68.83	$103.47
United Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $324.29 / $543.70	Professional		$197.71	$324.29	$543.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $62.44 / $106.84	Professional	26	$30.47	$62.44	$106.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $272.61 / $354.39	Professional		$199.78	$272.61	$354.39
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $45.89 / $60.18 / $78.23	Professional	26	$45.89	$60.18	$78.23