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 $100.13 / $125.00 / $125.00	Professional	26	$100.13	$125.00	$125.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $98.07 / $105.25 / $114.96	Professional	26	$98.07	$105.25	$114.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.29 / $107.00 / $239.72	Professional	26	$70.29	$107.00	$239.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $88.36 / $117.38 / $191.56	Professional	26	$88.36	$117.38	$191.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.87 / $93.47 / $264.35	Professional	26	$68.87	$93.47	$264.35
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.76 / $72.79 / $123.90	Professional	26	$61.76	$72.79	$123.90