Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.00 / $235.70 / $342.27	Facility	26	$172.00	$235.70	$342.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.25 / $575.26 / $927.50	Professional		$531.25	$575.26	$927.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $172.00 / $179.62 / $387.62	Professional	26	$172.00	$179.62	$387.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.54 / $707.54 / $929.71	Professional		$707.54	$707.54	$929.71
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $219.07 / $219.07 / $287.85	Professional	26	$219.07	$219.07	$287.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.57 / $724.59 / $1,654.32	Professional		$491.57	$724.59	$1,654.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.59 / $238.10 / $529.60	Professional	26	$158.59	$238.10	$529.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.52 / $819.82 / $1,382.96	Professional		$635.52	$819.82	$1,382.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $205.03 / $264.49 / $428.48	Professional	26	$205.03	$264.49	$428.48
United Facility/Professional Professional Modifier Low / Median / High Price $454.30 / $662.82 / $1,505.08	Professional		$454.30	$662.82	$1,505.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $145.31 / $216.77 / $351.56	Professional	26	$145.31	$216.77	$351.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $519.35 / $723.40 / $898.92	Professional		$519.35	$723.40	$898.92
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $167.54 / $235.78 / $281.52	Professional	26	$167.54	$235.78	$281.52