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 / $126.00	Facility	26	$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.47 / $425.00 / $586.50	Professional		$311.47	$425.00	$586.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $454.52 / $505.02 / $571.47	Professional		$454.52	$505.02	$571.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $540.10 / $891.94	Professional		$285.58	$540.10	$891.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.49 / $428.91 / $638.19	Professional		$332.49	$428.91	$638.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.29 / $91.60 / $123.80	Professional	26	$75.29	$91.60	$123.80
United Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $410.13 / $744.63	Professional		$266.58	$410.13	$744.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $363.08 / $472.00	Professional		$265.99	$363.08	$472.00