Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.97 / $145.21 / $145.21	Facility	26	$72.97	$145.21	$145.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $320.01 / $1,182.11	Professional		$231.89	$320.01	$1,182.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.97 / $88.44 / $257.27	Professional	26	$72.97	$88.44	$257.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $382.79 / $388.37 / $443.92	Professional		$382.79	$388.37	$443.92
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $77.00 / $93.39 / $109.66	Professional	26	$77.00	$93.39	$109.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.82 / $476.91 / $832.56	Professional		$265.82	$476.91	$832.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.19 / $100.33 / $193.56	Professional	26	$66.19	$100.33	$193.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $404.05 / $572.29	Professional		$313.22	$404.05	$572.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.20 / $101.73 / $139.24	Professional	26	$84.20	$101.73	$139.24
United Facility/Professional Professional Modifier Low / Median / High Price $219.89 / $360.39 / $626.45	Professional		$219.89	$360.39	$626.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.06 / $91.67 / $169.88	Professional	26	$41.06	$91.67	$169.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.06 / $301.61 / $392.09	Professional		$222.06	$301.61	$392.09
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $68.45 / $89.57 / $116.44	Professional	26	$68.45	$89.57	$116.44