Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $126.00	Facility	26	$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $425.00 / $586.50	Professional		$63.46	$425.00	$586.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $118.59 / $173.88	Professional	26	$12.42	$118.59	$173.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $78.59 / $99.82	Professional		$70.73	$78.59	$99.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $13.42 / $17.04	Professional	26	$12.64	$13.42	$17.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $77.23 / $136.54	Professional		$41.15	$77.23	$136.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $13.98 / $27.38	Professional	26	$9.11	$13.98	$27.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $60.67 / $92.12	Professional		$47.03	$60.67	$92.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $14.17 / $19.35	Professional	26	$11.66	$14.17	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $61.42 / $120.41	Professional		$42.73	$61.42	$120.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.20 / $12.63 / $24.12	Professional	26	$6.20	$12.63	$24.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $51.34 / $66.73	Professional		$37.61	$51.34	$66.73
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $12.40 / $16.12	Professional	26	$9.44	$12.40	$16.12