Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $25.12 / $30.20	Facility	26	$20.89	$25.12	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $275.42	Professional		$52.48	$91.20	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $37.15 / $75.86	Professional	26	$20.89	$37.15	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $79.43 / $102.33	Professional		$23.44	$79.43	$102.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $29.51	Professional	26	$21.88	$25.70	$29.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $213.80	Professional		$63.10	$114.82	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $23.44 / $51.29	Professional	26	$15.49	$23.44	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $181.97	Professional		$87.10	$97.72	$181.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $38.90	Professional	26	$22.91	$28.18	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $186.21	Professional		$64.57	$97.72	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $22.91 / $42.66	Professional	26	$14.13	$22.91	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $125.89	Professional		$81.28	$100.00	$125.89
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $29.51 / $37.15	Professional	26	$24.55	$29.51	$37.15