Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	26	$23.44	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $316.23	Professional		$100.00	$134.90	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $125.89 / $147.91	Professional		$25.70	$125.89	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	26	$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $281.84	Professional		$89.13	$125.89	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $213.80	Professional		$131.83	$154.88	$213.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $32.36 / $43.65	Professional	26	$28.84	$32.36	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $229.09	Professional		$87.10	$125.89	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $213.80	Professional		$83.18	$162.18	$213.80