Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $429.03 / $1,657.69	Professional		$359.46	$429.03	$1,657.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $63.06 / $191.70	Professional	26	$46.47	$63.06	$191.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $444.19 / $564.12	Professional		$207.90	$444.19	$564.12
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $86.38 / $86.38 / $145.53	Professional	26	$86.38	$86.38	$145.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $256.35 / $1,061.15	Professional		$188.24	$256.35	$1,061.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.91 / $41.45 / $116.92	Professional	26	$31.91	$41.45	$116.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.80 / $615.37 / $769.22	Professional		$512.80	$615.37	$769.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $91.02 / $124.55	Professional	26	$75.84	$91.02	$124.55
United Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $396.90 / $786.56	Professional		$265.60	$396.90	$786.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.11 / $63.47 / $146.74	Professional	26	$48.11	$63.47	$146.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.38 / $646.77 / $731.13	Professional		$343.38	$646.77	$731.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $72.18 / $92.16 / $110.57	Professional	26	$72.18	$92.16	$110.57