Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $75.34 / $140.13	Professional		$64.93	$75.34	$140.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.97 / $42.89 / $101.78	Professional	26	$37.97	$42.89	$101.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $80.06 / $125.71	Professional		$72.06	$80.06	$125.71
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $43.78 / $43.78 / $68.73	Professional	26	$43.78	$43.78	$68.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $94.77 / $232.35	Professional		$68.66	$94.77	$232.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $56.61 / $123.58	Professional	26	$39.40	$56.61	$123.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $88.93 / $131.97	Professional		$70.40	$88.93	$131.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $47.35 / $70.59	Professional	26	$36.81	$47.35	$70.59
United Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $78.59 / $130.32	Professional		$57.77	$78.59	$130.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $47.53 / $72.92	Professional	26	$35.04	$47.53	$72.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $62.39 / $111.16	Professional		$56.07	$62.39	$111.16
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $33.68 / $59.91	Professional	26	$29.78	$33.68	$59.91