Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $379.07 / $420.87 / $603.48	Facility	26	$379.07	$420.87	$603.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.80 / $1,251.91 / $3,022.91	Professional		$1,112.80	$1,251.91	$3,022.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $305.50 / $358.94 / $1,436.12	Professional	26	$305.50	$358.94	$1,436.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,283.42 / $1,350.53 / $1,715.17	Professional		$1,283.42	$1,350.53	$1,715.17
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $356.57 / $370.86 / $470.99	Professional	26	$356.57	$370.86	$470.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.92 / $1,690.47 / $3,106.20	Professional		$1,077.92	$1,690.47	$3,106.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $323.63 / $478.06 / $1,007.21	Professional	26	$323.63	$478.06	$1,007.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.84 / $1,438.16 / $2,608.81	Professional		$1,114.84	$1,438.16	$2,608.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $336.18 / $433.67 / $724.80	Professional	26	$336.18	$433.67	$724.80
United Facility/Professional Professional Modifier Low / Median / High Price $964.55 / $1,366.51 / $2,389.44	Professional		$964.55	$1,366.51	$2,389.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $301.07 / $415.16 / $690.96	Professional	26	$301.07	$415.16	$690.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $982.82 / $982.82 / $1,576.14	Professional		$982.82	$982.82	$1,576.14
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $296.32 / $296.32 / $475.95	Professional	26	$296.32	$296.32	$475.95