Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.01 / $57.01 / $57.01	Facility	26	$57.01	$57.01	$57.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $104.87 / $534.04	Professional		$81.23	$104.87	$534.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.01 / $61.20 / $192.23	Professional	26	$57.01	$61.20	$192.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $98.01 / $312.67	Professional		$91.70	$98.01	$312.67
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $71.31 / $81.51	Professional	26	$71.31	$71.31	$81.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $122.26 / $310.36	Professional		$75.48	$122.26	$310.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $78.16 / $177.94	Professional	26	$52.17	$78.16	$177.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $129.79 / $206.14	Professional		$97.59	$129.79	$206.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.22 / $90.73 / $143.56	Professional	26	$68.22	$90.73	$143.56
United Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $116.44 / $277.58	Professional		$81.15	$116.44	$277.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.72 / $69.81 / $124.13	Professional	26	$52.72	$69.81	$124.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $112.23 / $140.63	Professional		$88.45	$112.23	$140.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.83 / $78.45 / $99.24	Professional	26	$61.83	$78.45	$99.24