Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.04 / $81.04 / $81.04	Facility	26	$81.04	$81.04	$81.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $199.65 / $649.79	Professional		$150.69	$199.65	$649.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $83.45 / $237.82	Professional	26	$49.34	$83.45	$237.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $203.09 / $515.00	Professional		$183.69	$203.09	$515.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $59.28 / $83.97 / $144.04	Professional	26	$59.28	$83.97	$144.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $224.88 / $578.61	Professional		$135.00	$224.88	$578.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.53 / $79.54 / $204.32	Professional	26	$53.53	$79.54	$204.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $227.08 / $302.52	Professional		$176.03	$227.08	$302.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $65.89 / $106.79 / $142.47	Professional	26	$65.89	$106.79	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $243.97 / $480.31	Professional		$161.10	$243.97	$480.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.33 / $84.60 / $168.69	Professional	26	$44.33	$84.60	$168.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $188.32 / $251.63	Professional		$140.82	$188.32	$251.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $75.98 / $100.68 / $137.30	Professional	26	$75.98	$100.68	$137.30