Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $331.13	Professional	26	$87.10	$125.89	$331.13
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $85.11 / $104.71	Professional	26	$83.18	$85.11	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $173.78	Professional	26	$67.61	$95.50	$173.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $97.72 / $147.91	Professional	26	$85.11	$97.72	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $162.18	Professional	26	$69.18	$95.50	$162.18
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $131.83	Professional	26	$75.86	$102.33	$131.83