Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $75.42 / $111.06	Facility	26	$55.81	$75.42	$111.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.81 / $331.86 / $562.29	Professional		$306.81	$331.86	$562.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $59.90 / $122.17	Professional	26	$55.81	$59.90	$122.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.04 / $407.82 / $460.84	Professional		$367.04	$407.82	$460.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $71.39 / $71.39 / $82.10	Professional	26	$71.39	$71.39	$82.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $439.20 / $925.20	Professional		$266.63	$439.20	$925.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $74.23 / $170.45	Professional	26	$49.98	$74.23	$170.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.47 / $414.72 / $754.04	Professional		$327.47	$414.72	$754.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $62.85 / $78.00 / $133.15	Professional	26	$62.85	$78.00	$133.15
United Facility/Professional Professional Modifier Low / Median / High Price $246.65 / $363.31 / $668.47	Professional		$246.65	$363.31	$668.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $62.22 / $118.62	Professional	26	$50.97	$62.22	$118.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $301.56 / $489.53	Professional		$275.77	$301.56	$489.53
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $51.74 / $56.57 / $88.18	Professional	26	$51.74	$56.57	$88.18