Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $69.26 / $110.35	Professional		$55.41	$69.26	$110.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.35 / $36.86 / $54.46	Professional	26	$32.35	$36.86	$54.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $74.62 / $117.15	Professional		$67.16	$74.62	$117.15
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $38.68 / $60.73	Professional	26	$38.68	$38.68	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $86.66 / $213.93	Professional		$62.96	$86.66	$213.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.85 / $49.27 / $107.67	Professional	26	$33.85	$49.27	$107.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $81.86 / $120.92	Professional		$64.81	$81.86	$120.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $40.68 / $60.19	Professional	26	$31.65	$40.68	$60.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $72.28 / $119.74	Professional		$53.06	$72.28	$119.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.15 / $42.65 / $73.81	Professional	26	$30.15	$42.65	$73.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $57.42 / $102.33	Professional		$51.30	$57.42	$102.33
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $25.43 / $28.98 / $51.57	Professional	26	$25.43	$28.98	$51.57