Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $286.73 / $647.58	Professional		$225.83	$286.73	$647.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.67 / $60.34 / $156.40	Professional	26	$49.67	$60.34	$156.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.33 / $247.82 / $280.04	Professional		$206.33	$247.82	$280.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $47.04 / $49.34 / $55.75	Professional	26	$47.04	$49.34	$55.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.72 / $328.45 / $650.91	Professional		$236.72	$328.45	$650.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $70.45 / $135.76	Professional	26	$44.91	$70.45	$135.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.22 / $404.94 / $506.18	Professional		$335.22	$404.94	$506.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.07 / $63.27 / $87.64	Professional	26	$54.07	$63.27	$87.64
United Facility/Professional Professional Modifier Low / Median / High Price $197.38 / $261.72 / $496.93	Professional		$197.38	$261.72	$496.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $58.57 / $101.57	Professional	26	$41.27	$58.57	$101.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.27 / $370.59 / $478.89	Professional		$198.27	$370.59	$478.89
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.86 / $57.66 / $78.63	Professional	26	$31.86	$57.66	$78.63