Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $18.62 / $21.38	Facility	26	$15.49	$18.62	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $371.54	Professional		$77.62	$120.23	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $117.49	Professional		$79.43	$93.33	$117.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $186.21	Professional		$67.61	$89.13	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $147.91	Professional		$91.20	$104.71	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.42 / $27.54	Professional	26	$18.20	$20.42	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $162.18	Professional		$63.10	$91.20	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $151.36	Professional		$58.88	$109.65	$151.36