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 $90.00 / $125.00 / $293.56	Professional	26	$90.00	$125.00	$293.56
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $108.67 / $115.60 / $126.11	Professional	26	$108.67	$115.60	$126.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.86 / $118.33 / $265.55	Professional	26	$77.86	$118.33	$265.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $98.50 / $131.04 / $219.73	Professional	26	$98.50	$131.04	$219.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.77 / $108.63 / $292.93	Professional	26	$75.77	$108.63	$292.93
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $70.39 / $81.26 / $138.28	Professional	26	$70.39	$81.26	$138.28