Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $316.23	Professional		$47.86	$77.62	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $112.20	Professional	26	$30.20	$38.90	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $56.23 / $85.11	Professional		$22.39	$56.23	$85.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.02 / $47.86	Professional	26	$33.88	$38.02	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $177.83	Professional		$46.77	$97.72	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $47.86 / $93.33	Professional	26	$27.54	$47.86	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $128.82	Professional		$60.26	$70.79	$128.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $42.66 / $61.66	Professional	26	$36.31	$42.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $147.91	Professional		$53.70	$87.10	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $44.67 / $75.86	Professional	26	$30.90	$44.67	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $87.10	Professional		$57.54	$74.13	$87.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $53.70	Professional	26	$35.48	$44.67	$53.70