Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.36 / $51.36 / $51.36	Facility	26	$51.36	$51.36	$51.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.27 / $216.14 / $915.00	Professional		$188.27	$216.14	$915.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $53.22 / $130.00	Professional	26	$45.18	$53.22	$130.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.33 / $227.15 / $296.87	Professional		$206.33	$227.15	$296.87
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $54.67 / $93.22	Professional	26	$51.54	$54.67	$93.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $233.60 / $465.08	Professional		$167.36	$233.60	$465.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.72 / $60.38 / $130.30	Professional	26	$42.72	$60.38	$130.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $256.61 / $403.79	Professional		$206.66	$256.61	$403.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.30 / $68.77 / $97.15	Professional	26	$53.30	$68.77	$97.15
United Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $225.20 / $409.83	Professional		$141.30	$225.20	$409.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $59.46 / $108.46	Professional	26	$38.59	$59.46	$108.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $243.13 / $317.55	Professional		$140.97	$243.13	$317.55
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $37.78 / $63.71 / $86.88	Professional	26	$37.78	$63.71	$86.88