Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $173.78	Facility	26	$125.89	$125.89	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,412.54	Professional		$398.11	$549.54	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $354.81	Professional	26	$70.79	$125.89	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $549.54 / $691.83	Professional		$97.72	$549.54	$691.83
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $123.03	Professional	26	$66.07	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,071.52	Professional		$323.59	$512.86	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $186.21	Professional	26	$52.48	$81.28	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $1,000.00	Professional		$457.09	$524.81	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $83.18 / $141.25	Professional	26	$72.44	$83.18	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $851.14	Professional		$269.15	$457.09	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $70.79 / $134.90	Professional	26	$38.02	$70.79	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $707.95	Professional		$371.54	$602.56	$707.95
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $95.50 / $107.15	Professional	26	$61.66	$95.50	$107.15