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 / $265.00	Professional	26	$90.00	$125.00	$265.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $37.06 / $39.43 / $42.98	Professional	26	$37.06	$39.43	$42.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.15 / $32.86 / $75.30	Professional	26	$22.15	$32.86	$75.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $33.43 / $60.78	Professional	26	$27.51	$33.43	$60.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $31.76 / $54.11	Professional	26	$23.00	$31.76	$54.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $24.98 / $39.51	Professional	26	$23.17	$24.98	$39.51