Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $162.46	Facility	26	$126.00	$126.00	$162.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $475.00 / $1,370.98	Professional		$400.00	$475.00	$1,370.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.37 / $126.00 / $337.68	Professional	26	$78.37	$126.00	$337.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $507.11 / $616.62	Professional		$463.29	$507.11	$616.62
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $72.83 / $78.97 / $90.03	Professional	26	$72.83	$78.97	$90.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.16 / $513.33 / $1,165.36	Professional		$331.16	$513.33	$1,165.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.19 / $85.54 / $185.61	Professional	26	$54.19	$85.54	$185.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.61 / $569.03 / $1,015.33	Professional		$432.61	$569.03	$1,015.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.32 / $150.71	Professional	26	$70.79	$91.32	$150.71
United Facility/Professional Professional Modifier Low / Median / High Price $324.50 / $473.13 / $934.24	Professional		$324.50	$473.13	$934.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.99 / $73.45 / $142.57	Professional	26	$35.99	$73.45	$142.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.14 / $497.50 / $614.27	Professional		$374.14	$497.50	$614.27
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.21 / $81.41 / $103.13	Professional	26	$61.21	$81.41	$103.13