Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.14 / $122.56 / $133.58	Facility	26	$95.14	$122.56	$133.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $330.43 / $714.60	Professional		$222.48	$330.43	$714.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.14 / $116.15 / $330.43	Professional	26	$95.14	$116.15	$330.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $291.93 / $348.93	Professional		$269.70	$291.93	$348.93
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $109.66 / $121.84 / $154.74	Professional	26	$109.66	$121.84	$154.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.02 / $355.11 / $717.89	Professional		$240.02	$355.11	$717.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.31 / $147.41 / $305.08	Professional	26	$102.31	$147.41	$305.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.47 / $308.92 / $436.03	Professional		$239.47	$308.92	$436.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $105.00 / $133.35 / $195.35	Professional	26	$105.00	$133.35	$195.35
United Facility/Professional Professional Modifier Low / Median / High Price $222.12 / $307.27 / $511.99	Professional		$222.12	$307.27	$511.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.37 / $121.21 / $224.11	Professional	26	$86.37	$121.21	$224.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.47 / $275.39 / $342.95	Professional		$239.47	$275.39	$342.95
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $105.01 / $120.75 / $153.21	Professional	26	$105.01	$120.75	$153.21