Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.85 / $44.75 / $65.39	Facility	26	$32.85	$44.75	$65.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $118.98 / $287.93	Professional		$96.60	$118.98	$287.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $34.07 / $97.08	Professional	26	$21.33	$34.07	$97.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $129.09 / $163.94	Professional		$118.55	$129.09	$163.94
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $24.46 / $34.99 / $48.56	Professional	26	$24.46	$34.99	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $125.52 / $275.02	Professional		$86.01	$125.52	$275.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.85 / $32.49 / $83.41	Professional	26	$21.85	$32.49	$83.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $143.04 / $219.75	Professional		$115.06	$143.04	$219.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $43.62 / $57.80	Professional	26	$26.88	$43.62	$57.80
United Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $118.54 / $207.11	Professional		$78.12	$118.54	$207.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $36.95 / $65.76	Professional	26	$18.18	$36.95	$65.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $135.22 / $177.21	Professional		$82.76	$135.22	$177.21
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $25.64 / $41.03 / $55.95	Professional	26	$25.64	$41.03	$55.95