Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $309.03	Professional		$93.33	$138.04	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $67.61	Professional	26	$19.05	$26.92	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $134.90 / $158.49	Professional		$23.99	$134.90	$158.49
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.88 / $26.30	Professional	26	$21.38	$21.88	$26.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $269.15	Professional		$95.50	$125.89	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $52.48	Professional	26	$18.20	$26.92	$52.48
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 $23.44 / $25.70 / $35.48	Professional	26	$23.44	$25.70	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $229.09	Professional		$87.10	$128.82	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $42.66	Professional	26	$18.62	$25.12	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $223.87	Professional		$87.10	$162.18	$223.87
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $26.92 / $35.48	Professional	26	$14.79	$26.92	$35.48