Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $125.00	Facility	26	$125.00	$125.00	$125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $291.50	Professional	26	$90.00	$125.00	$291.50
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $93.78 / $103.82 / $113.16	Professional	26	$93.78	$103.82	$113.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.03 / $98.24 / $228.61	Professional	26	$67.03	$98.24	$228.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.76 / $100.68 / $183.06	Professional	26	$82.76	$100.68	$183.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.43 / $94.55 / $154.58	Professional	26	$68.43	$94.55	$154.58
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $69.70 / $75.33 / $118.99	Professional	26	$69.70	$75.33	$118.99