Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.12 / $65.12 / $65.12	Facility	26	$65.12	$65.12	$65.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $170.31 / $480.58	Professional		$153.19	$170.31	$480.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.12 / $70.76 / $206.49	Professional	26	$65.12	$70.76	$206.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $183.99 / $233.67	Professional		$165.59	$183.99	$233.67
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $74.23 / $82.48 / $105.57	Professional	26	$74.23	$82.48	$105.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $192.39 / $386.64	Professional		$132.75	$192.39	$386.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.61 / $87.97 / $165.93	Professional	26	$58.61	$87.97	$165.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $224.50 / $305.56	Professional		$180.33	$224.50	$305.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.62 / $92.83 / $126.93	Professional	26	$76.62	$92.83	$126.93
United Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $182.97 / $308.73	Professional		$141.24	$182.97	$308.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.28 / $75.83 / $148.11	Professional	26	$60.28	$75.83	$148.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $207.38 / $257.87	Professional		$135.83	$207.38	$257.87
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $57.71 / $88.11 / $111.50	Professional	26	$57.71	$88.11	$111.50