Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.28 / $20.28 / $20.28	Facility	26	$20.28	$20.28	$20.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $132.86 / $300.05	Professional		$106.38	$132.86	$300.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $21.07 / $65.02	Professional	26	$19.89	$21.07	$65.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $143.65 / $162.56	Professional		$99.50	$143.65	$162.56
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $23.02 / $25.58 / $29.24	Professional	26	$23.02	$25.58	$29.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $134.07 / $276.07	Professional		$95.69	$134.07	$276.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $27.21 / $53.29	Professional	26	$17.75	$27.21	$53.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $158.47 / $241.10	Professional		$128.27	$158.47	$241.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $27.53 / $41.16	Professional	26	$22.86	$27.53	$41.16
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $124.52 / $224.01	Professional		$81.20	$124.52	$224.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $24.90 / $42.02	Professional	26	$18.82	$24.90	$42.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $150.90 / $195.52	Professional		$87.86	$150.90	$195.52
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $24.49 / $33.39	Professional	26	$14.63	$24.49	$33.39