Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $109.45 / $412.85	Professional		$83.79	$109.45	$412.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.87 / $21.94 / $71.34	Professional	26	$16.87	$21.94	$71.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $136.91 / $173.88	Professional		$47.12	$136.91	$173.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $30.05 / $38.46	Professional	26	$30.05	$30.05	$38.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $69.39 / $150.11	Professional		$46.54	$69.39	$150.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.30 / $14.79 / $43.06	Professional	26	$0.30	$14.79	$43.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $168.96 / $223.59	Professional		$140.80	$168.96	$223.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $31.54 / $43.31	Professional	26	$26.28	$31.54	$43.31
United Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $101.58 / $204.62	Professional		$80.15	$101.58	$204.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.94 / $22.10 / $36.60	Professional	26	$16.94	$22.10	$36.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $177.33 / $200.46	Professional		$87.70	$177.33	$200.46
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.85 / $31.91 / $38.33	Professional	26	$23.85	$31.91	$38.33