Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.43 / $25.43 / $25.43	Facility	26	$25.43	$25.43	$25.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $188.88 / $260.64	Professional		$159.55	$188.88	$260.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.43 / $26.40 / $35.09	Professional	26	$25.43	$26.40	$35.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $223.61 / $252.68	Professional		$177.74	$223.61	$252.68
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $32.26 / $32.26 / $37.10	Professional	26	$32.26	$32.26	$37.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.43 / $271.87 / $567.20	Professional		$163.43	$271.87	$567.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.49 / $33.82 / $76.47	Professional	26	$22.49	$33.82	$76.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.92 / $243.25 / $463.34	Professional		$196.92	$243.25	$463.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $35.43 / $60.62	Professional	26	$28.47	$35.43	$60.62
United Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $228.27 / $470.19	Professional		$118.53	$228.27	$470.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $28.15 / $54.27	Professional	26	$23.05	$28.15	$54.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $169.03 / $299.48	Professional		$150.13	$169.03	$299.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $23.52 / $40.04	Professional	26	$20.88	$23.52	$40.04