Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.18 / $59.18 / $85.94	Facility	26	$43.18	$59.18	$85.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $125.06 / $340.74	Professional		$102.98	$125.06	$340.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $133.96 / $170.13	Professional		$120.56	$133.96	$170.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $142.21 / $261.25	Professional		$94.34	$142.21	$261.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $155.63 / $205.80	Professional		$122.54	$155.63	$205.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.79 / $62.95 / $106.51	Professional	26	$49.79	$62.95	$106.51
United Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $125.78 / $238.89	Professional		$94.25	$125.78	$238.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $140.91 / $175.19	Professional		$99.02	$140.91	$175.19