Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $108.36 / $118.71	Professional		$95.80	$108.36	$118.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.22 / $42.94 / $48.49	Professional	26	$40.22	$42.94	$48.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $133.94 / $227.00	Professional		$133.94	$133.94	$227.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $60.01 / $60.01 / $91.60	Professional	26	$60.01	$60.01	$91.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $78.48 / $254.47	Professional		$1.48	$78.48	$254.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.61 / $31.30 / $112.78	Professional	26	$0.61	$31.30	$112.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $156.05 / $204.06	Professional		$130.04	$156.05	$204.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.71 / $62.05 / $78.84	Professional	26	$51.71	$62.05	$78.84
United Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $128.57 / $268.85	Professional		$96.47	$128.57	$268.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.08 / $50.09 / $103.93	Professional	26	$38.08	$50.09	$103.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $161.84 / $186.02	Professional		$121.76	$161.84	$186.02
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $62.54 / $75.66	Professional	26	$49.81	$62.54	$75.66