Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $501.19	Professional		$144.54	$181.97	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $213.80	Professional	26	$61.66	$77.62	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $218.78	Professional		$72.44	$173.78	$218.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $81.28 / $102.33	Professional	26	$72.44	$81.28	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $354.81	Professional		$131.83	$190.55	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $165.96	Professional	26	$58.88	$87.10	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $281.84	Professional		$186.21	$218.78	$281.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $91.20 / $123.03	Professional	26	$77.62	$91.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $323.59	Professional		$134.90	$177.83	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $79.43 / $144.54	Professional	26	$58.88	$79.43	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $275.42	Professional		$134.90	$234.42	$275.42
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $114.82	Professional	26	$57.54	$95.50	$114.82