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 $125.00 / $125.00 / $132.63	Professional	26	$125.00	$125.00	$132.63
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $80.90 / $100.35 / $110.47	Professional	26	$80.90	$100.35	$110.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.77 / $102.78 / $234.56	Professional	26	$68.77	$102.78	$234.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.73 / $115.30 / $191.62	Professional	26	$86.73	$115.30	$191.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.42 / $94.92 / $181.82	Professional	26	$65.42	$94.92	$181.82
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.59 / $71.50 / $121.80	Professional	26	$61.59	$71.50	$121.80