Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.71 / $20.71 / $28.67	Facility	26	$20.71	$20.71	$28.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $124.54 / $272.70	Professional		$67.28	$124.54	$272.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $23.41 / $80.01	Professional	26	$16.71	$23.41	$80.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $88.61 / $132.97	Professional		$84.78	$88.61	$132.97
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $28.74 / $32.53	Professional	26	$19.32	$28.74	$32.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $117.17 / $212.80	Professional		$62.53	$117.17	$212.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.21 / $24.45 / $52.59	Professional	26	$16.21	$24.45	$52.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $104.28 / $194.16	Professional		$80.84	$104.28	$194.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $28.32 / $39.74	Professional	26	$21.08	$28.32	$39.74
United Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $97.62 / $233.07	Professional		$64.90	$97.62	$233.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $22.83 / $43.76	Professional	26	$13.81	$22.83	$43.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $87.93 / $115.19	Professional		$64.67	$87.93	$115.19
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $26.29 / $35.85	Professional	26	$19.70	$26.29	$35.85