Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $457.09	Professional		$128.82	$199.53	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $112.20 / $363.08	Professional	26	$54.95	$112.20	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $218.78	Professional		$89.13	$169.82	$218.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $100.00 / $114.82	Professional	26	$83.18	$100.00	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $602.56	Professional		$134.90	$218.78	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $75.86 / $186.21	Professional	26	$48.98	$75.86	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $275.42	Professional		$177.83	$199.53	$275.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $102.33 / $138.04	Professional	26	$83.18	$102.33	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $446.68	Professional		$162.18	$239.88	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $85.11 / $162.18	Professional	26	$44.67	$85.11	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $269.15	Professional		$147.91	$204.17	$269.15
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $109.65 / $141.25	Professional	26	$79.43	$109.65	$141.25