Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $137.59 / $231.70	Professional		$121.95	$137.59	$231.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.71 / $23.05 / $41.24	Professional	26	$21.71	$23.05	$41.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $151.72 / $171.45	Professional		$151.72	$151.72	$171.45
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $22.67 / $25.62	Professional	26	$22.57	$22.67	$25.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $205.87 / $335.93	Professional		$138.99	$205.87	$335.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.63 / $31.82 / $52.12	Professional	26	$21.63	$31.82	$52.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $189.41 / $282.00	Professional		$150.72	$189.41	$282.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.79 / $27.86 / $39.14	Professional	26	$22.79	$27.86	$39.14
United Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $180.18 / $325.86	Professional		$129.05	$180.18	$325.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $27.42 / $51.00	Professional	26	$20.17	$27.42	$51.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $158.90 / $196.07	Professional		$119.62	$158.90	$196.07
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.11 / $26.70 / $33.29	Professional	26	$20.11	$26.70	$33.29