Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.92 / $92.30 / $109.70	Facility	26	$76.92	$92.30	$109.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $203.60 / $623.28	Professional		$154.44	$203.60	$623.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.92 / $91.29 / $249.42	Professional	26	$76.92	$91.29	$249.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $200.54 / $343.91	Professional		$180.49	$200.54	$343.91
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $92.88 / $103.20 / $154.97	Professional	26	$92.88	$103.20	$154.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $222.58 / $457.62	Professional		$141.13	$222.58	$457.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.92 / $109.08 / $206.39	Professional	26	$68.92	$109.08	$206.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.46 / $226.29 / $369.72	Professional		$182.46	$226.29	$369.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.84 / $107.81 / $155.66	Professional	26	$89.84	$107.81	$155.66
United Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $193.86 / $328.24	Professional		$152.61	$193.86	$328.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.19 / $96.13 / $172.08	Professional	26	$72.19	$96.13	$172.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $209.83 / $261.74	Professional		$170.09	$209.83	$261.74
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $83.75 / $103.32 / $131.18	Professional	26	$83.75	$103.32	$131.18