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 / $267.14	Professional	26	$90.00	$125.00	$267.14
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $90.27 / $93.99 / $102.45	Professional	26	$90.27	$93.99	$102.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.30 / $98.08 / $219.92	Professional	26	$64.30	$98.08	$219.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.87 / $107.22 / $179.98	Professional	26	$80.87	$107.22	$179.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $93.18 / $206.79	Professional	26	$67.50	$93.18	$206.79
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $59.62 / $66.50 / $113.54	Professional	26	$59.62	$66.50	$113.54