Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.37 / $47.37 / $94.26	Facility	26	$47.37	$47.37	$94.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $134.19 / $447.59	Professional		$99.34	$134.19	$447.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $134.38 / $199.65	Professional		$134.38	$134.38	$199.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $142.77 / $302.45	Professional		$88.28	$142.77	$302.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $151.79 / $272.20	Professional		$114.13	$151.79	$272.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.48 / $73.79 / $119.94	Professional	26	$55.48	$73.79	$119.94
United Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $147.27 / $291.38	Professional		$106.61	$147.27	$291.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $131.25 / $163.26	Professional		$114.13	$131.25	$163.26