Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $216.61 / $272.37 / $431.05	Facility	26	$216.61	$272.37	$431.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $939.99 / $4,046.00	Professional		$886.22	$939.99	$4,046.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.65 / $261.11 / $1,026.01	Professional	26	$218.65	$261.11	$1,026.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,039.88 / $1,062.06 / $1,348.82	Professional		$1,039.88	$1,062.06	$1,348.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $255.07 / $264.91 / $336.44	Professional	26	$255.07	$264.91	$336.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.58 / $1,314.51 / $2,343.67	Professional		$869.58	$1,314.51	$2,343.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $231.53 / $347.88 / $730.90	Professional	26	$231.53	$347.88	$730.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.09 / $1,159.83 / $2,113.76	Professional		$899.09	$1,159.83	$2,113.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $240.45 / $310.18 / $518.48	Professional	26	$240.45	$310.18	$518.48
United Facility/Professional Professional Modifier Low / Median / High Price $798.49 / $1,072.61 / $1,936.03	Professional		$798.49	$1,072.61	$1,936.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $209.14 / $289.82 / $509.32	Professional	26	$209.14	$289.82	$509.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $737.74 / $737.74 / $1,271.09	Professional		$737.74	$737.74	$1,271.09
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $197.27 / $197.27 / $340.47	Professional	26	$197.27	$197.27	$340.47