Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.38 / $93.38 / $93.38	Facility	26	$93.38	$93.38	$93.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.38 / $97.66 / $303.85	Professional	26	$93.38	$97.66	$303.85
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $125.52 / $128.12 / $143.46	Professional	26	$125.52	$128.12	$143.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.49 / $134.87 / $271.94	Professional	26	$84.49	$134.87	$271.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.34 / $138.06 / $223.49	Professional	26	$109.34	$138.06	$223.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.67 / $116.93 / $199.31	Professional	26	$89.67	$116.93	$199.31
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $88.30 / $126.93 / $159.90	Professional	26	$88.30	$126.93	$159.90