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 $91.20 / $125.89 / $371.54	Professional	26	$91.20	$125.89	$371.54
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $97.72 / $114.82	Professional	26	$87.10	$97.72	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $181.97	Professional	26	$70.79	$100.00	$181.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $104.71 / $199.53	Professional	26	$87.10	$104.71	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $223.87	Professional	26	$69.18	$95.50	$223.87
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $104.71 / $134.90	Professional	26	$61.66	$104.71	$134.90