Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $395.19 / $395.20 / $541.55	Facility	26	$395.19	$395.20	$541.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $859.47 / $2,147.00	Professional		$740.75	$859.47	$2,147.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $395.20 / $491.36 / $1,059.13	Professional	26	$395.20	$491.36	$1,059.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.64 / $1,076.14 / $1,366.70	Professional		$928.64	$1,076.14	$1,366.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $519.38 / $519.38 / $659.61	Professional	26	$519.38	$519.38	$659.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.99 / $1,076.14 / $2,503.15	Professional		$738.99	$1,076.14	$2,503.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $365.71 / $618.52 / $1,221.41	Professional	26	$365.71	$618.52	$1,221.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.70 / $1,246.14 / $1,738.40	Professional		$917.70	$1,246.14	$1,738.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $472.80 / $609.91 / $932.94	Professional	26	$472.80	$609.91	$932.94
United Facility/Professional Professional Modifier Low / Median / High Price $618.87 / $847.37 / $1,544.12	Professional		$618.87	$847.37	$1,544.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $399.37 / $593.23 / $911.93	Professional	26	$399.37	$593.23	$911.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $649.51 / $1,104.33 / $1,356.10	Professional		$649.51	$1,104.33	$1,356.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $317.87 / $543.72 / $649.01	Professional	26	$317.87	$543.72	$649.01