Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $129.36 / $294.61	Professional		$61.92	$129.36	$294.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.35 / $31.78 / $95.50	Professional	26	$22.35	$31.78	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $129.99 / $165.09	Professional		$90.77	$129.99	$165.09
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $32.46 / $34.11 / $43.67	Professional	26	$32.46	$34.11	$43.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $80.44 / $184.97	Professional		$45.10	$80.44	$184.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $20.35 / $58.57	Professional	26	$15.92	$20.35	$58.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.65 / $199.98 / $263.63	Professional		$166.65	$199.98	$263.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.99 / $44.39 / $61.49	Professional	26	$36.99	$44.39	$61.49
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $108.37 / $252.70	Professional		$72.23	$108.37	$252.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $32.18 / $60.63	Professional	26	$22.86	$32.18	$60.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $209.37 / $236.87	Professional		$117.60	$209.37	$236.87
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $44.90 / $54.06	Professional	26	$33.65	$44.90	$54.06