Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.98 / $31.98 / $43.82	Facility	26	$31.98	$31.98	$43.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $243.47 / $424.90	Professional		$149.37	$243.47	$424.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $34.96 / $109.05	Professional	26	$31.98	$34.96	$109.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $375.44 / $377.27	Professional		$165.56	$375.44	$377.27
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $43.62 / $50.16	Professional	26	$41.42	$43.62	$50.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.46 / $349.71 / $739.46	Professional		$213.46	$349.71	$739.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.96 / $42.09 / $98.72	Professional	26	$28.96	$42.09	$98.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $317.72 / $605.17	Professional		$196.68	$317.72	$605.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $45.61 / $76.25	Professional	26	$36.65	$45.61	$76.25
United Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $287.25 / $963.72	Professional		$141.19	$287.25	$963.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $38.65 / $122.91	Professional	26	$29.95	$38.65	$122.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $248.98 / $391.10	Professional		$220.77	$248.98	$391.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $30.28 / $34.15 / $51.56	Professional	26	$30.28	$34.15	$51.56