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 $70.79 / $125.89 / $346.74	Professional	26	$70.79	$125.89	$346.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $74.13 / $85.11	Professional	26	$66.07	$74.13	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $134.90	Professional	26	$52.48	$75.86	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $79.43 / $147.91	Professional	26	$66.07	$79.43	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $125.89	Professional	26	$51.29	$72.44	$125.89
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $102.33	Professional	26	$46.77	$79.43	$102.33