Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.20 / $26.20 / $26.20	Facility	26	$26.20	$26.20	$26.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $125.06 / $227.94	Professional		$113.98	$125.06	$227.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $27.12 / $72.31	Professional	26	$25.03	$27.12	$72.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $156.44 / $177.03	Professional		$131.88	$156.44	$177.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $32.21 / $36.82	Professional	26	$27.27	$32.21	$36.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $145.54 / $291.75	Professional		$87.43	$145.54	$291.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $33.28 / $66.20	Professional	26	$23.62	$33.28	$66.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $142.57 / $243.82	Professional		$112.04	$142.57	$243.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $35.72 / $46.61	Professional	26	$30.59	$35.72	$46.61
United Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $138.58 / $238.93	Professional		$98.35	$138.58	$238.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $29.59 / $50.99	Professional	26	$21.21	$29.59	$50.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $121.91 / $158.97	Professional		$89.63	$121.91	$158.97
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $32.72 / $44.63	Professional	26	$24.86	$32.72	$44.63