Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $436.52 / $467.74	Facility	26	$338.84	$436.52	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,818.38	Professional		$1,174.90	$1,445.44	$2,818.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $537.03 / $1,096.48	Professional	26	$346.74	$537.03	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,023.29 / $1,412.54	Professional		$354.81	$1,023.29	$1,412.54
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $478.63 / $537.03	Professional	26	$436.52	$478.63	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $3,235.94	Professional		$1,148.15	$1,778.28	$3,235.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $524.81 / $1,047.13	Professional	26	$346.74	$524.81	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,630.27	Professional		$1,288.25	$1,445.44	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $380.19 / $426.58 / $758.58	Professional	26	$380.19	$426.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,570.40	Professional		$1,071.52	$1,513.56	$2,570.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $446.68 / $776.25	Professional	26	$323.59	$446.68	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,041.74	Professional		$1,047.13	$1,479.11	$2,041.74
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $446.68 / $575.44	Professional	26	$323.59	$446.68	$575.44