Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.12 / $80.12 / $80.12	Facility	26	$80.12	$80.12	$80.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $191.16 / $968.16	Professional		$137.77	$191.16	$968.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $82.56 / $246.56	Professional	26	$77.76	$82.56	$246.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $192.34 / $555.00	Professional		$179.50	$192.34	$555.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $92.23 / $126.00	Professional	26	$83.00	$92.23	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $245.89 / $631.91	Professional		$124.65	$245.89	$631.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.27 / $103.97 / $201.90	Professional	26	$72.27	$103.97	$201.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $207.90 / $337.50	Professional		$161.16	$207.90	$337.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.01 / $108.57 / $153.90	Professional	26	$93.01	$108.57	$153.90
United Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $236.07 / $456.72	Professional		$149.29	$236.07	$456.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.47 / $97.42 / $168.71	Professional	26	$69.47	$97.42	$168.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $171.53 / $229.84	Professional		$128.93	$171.53	$229.84
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $75.53 / $99.53 / $135.72	Professional	26	$75.53	$99.53	$135.72