Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $100.00	Facility	26	$72.44	$72.44	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $1,174.90	Professional		$190.55	$323.59	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $138.04 / $323.59	Professional	26	$74.13	$138.04	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $436.52	Professional		$281.84	$380.19	$436.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $107.15 / $120.23	Professional	26	$93.33	$107.15	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $831.76	Professional		$263.03	$426.58	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $97.72 / $177.83	Professional	26	$66.07	$97.72	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $501.19	Professional		$309.03	$354.81	$501.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $93.33 / $128.82	Professional	26	$83.18	$93.33	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $660.69	Professional		$257.04	$398.11	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $158.49	Professional	26	$51.29	$91.20	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $426.58	Professional		$275.42	$323.59	$426.58
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $97.72 / $128.82	Professional	26	$85.11	$97.72	$128.82