Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $53.28 / $156.00	Professional		$34.07	$53.28	$156.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.02 / $53.14	Professional	26	$19.55	$21.02	$53.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $55.73 / $85.08	Professional		$50.15	$55.73	$85.08
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.17 / $22.17 / $34.81	Professional	26	$22.17	$22.17	$34.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $55.61 / $156.03	Professional		$38.96	$55.61	$156.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $29.20 / $65.81	Professional	26	$20.61	$29.20	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $60.27 / $90.98	Professional		$47.99	$60.27	$90.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $24.78 / $37.60	Professional	26	$19.30	$24.78	$37.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $47.00 / $79.28	Professional		$30.62	$47.00	$79.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $24.01 / $37.92	Professional	26	$17.57	$24.01	$37.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $42.51 / $75.78	Professional		$28.90	$42.51	$75.78
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.67 / $31.44	Professional	26	$11.75	$17.67	$31.44