Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $114.82	Professional		$33.88	$52.48	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $79.43	Professional	26	$19.95	$25.12	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $77.62	Professional		$30.20	$53.70	$77.62
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $22.91 / $30.90	Professional	26	$20.42	$22.91	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $120.23	Professional		$38.90	$54.95	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $51.29	Professional	26	$20.42	$28.18	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $87.10	Professional		$47.86	$58.88	$87.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.44 / $36.31	Professional	26	$19.95	$23.44	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $87.10	Professional		$32.36	$50.12	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $40.74	Professional	26	$18.20	$25.12	$40.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $85.11	Professional		$28.84	$58.88	$85.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $23.44 / $33.11	Professional	26	$11.75	$23.44	$33.11