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 / $332.42	Professional	26	$90.00	$125.00	$332.42
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $122.01 / $127.90 / $142.65	Professional	26	$122.01	$127.90	$142.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.41 / $131.77 / $298.02	Professional	26	$87.41	$131.77	$298.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $110.95 / $147.40 / $247.37	Professional	26	$110.95	$147.40	$247.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.73 / $119.40 / $277.55	Professional	26	$83.73	$119.40	$277.55
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $91.41 / $93.02 / $155.62	Professional	26	$91.41	$93.02	$155.62