Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.28 / $30.28 / $30.28	Facility	26	$30.28	$30.28	$30.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $80.34 / $302.27	Professional		$49.74	$80.34	$302.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.28 / $41.28 / $128.10	Professional	26	$30.28	$41.28	$128.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $80.93 / $147.07	Professional		$72.84	$80.93	$147.07
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $43.25 / $48.06 / $58.41	Professional	26	$43.25	$48.06	$58.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $93.10 / $166.95	Professional		$45.21	$93.10	$166.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.39 / $47.01 / $93.61	Professional	26	$27.39	$47.01	$93.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $74.67 / $130.56	Professional		$57.88	$74.67	$130.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $45.22 / $77.05	Professional	26	$35.49	$45.22	$77.05
United Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $85.95 / $141.58	Professional		$54.17	$85.95	$141.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.03 / $42.33 / $84.52	Professional	26	$31.03	$42.33	$84.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $66.56 / $83.15	Professional		$57.88	$66.56	$83.15
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $40.81 / $51.61	Professional	26	$35.49	$40.81	$51.61