Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $831.76	Professional		$186.21	$316.23	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $169.82	Professional	26	$30.90	$51.29	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $354.81	Professional		$112.20	$302.00	$354.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $39.81 / $43.65	Professional	26	$35.48	$39.81	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $602.56	Professional		$213.80	$331.13	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $41.69 / $74.13	Professional	26	$28.84	$41.69	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $549.54	Professional		$194.98	$309.03	$549.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $42.66 / $67.61	Professional	26	$36.31	$42.66	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $616.60	Professional		$131.83	$269.15	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $37.15 / $75.86	Professional	26	$30.20	$37.15	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $436.52	Professional		$251.19	$323.59	$436.52
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $56.23	Professional	26	$33.88	$43.65	$56.23