Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $90.05 / $122.41	Professional		$80.30	$90.05	$122.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.24 / $31.69 / $42.12	Professional	26	$28.24	$31.69	$42.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $104.13 / $155.15	Professional		$104.13	$104.13	$155.15
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $34.26 / $34.26 / $51.05	Professional	26	$34.26	$34.26	$51.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $116.12 / $202.11	Professional		$84.09	$116.12	$202.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.86 / $39.19 / $69.34	Professional	26	$28.86	$39.19	$69.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $105.26 / $148.29	Professional		$81.34	$105.26	$148.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.45 / $34.43 / $49.55	Professional	26	$27.45	$34.43	$49.55
United Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $103.27 / $158.51	Professional		$76.61	$103.27	$158.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $35.35 / $55.85	Professional	26	$26.31	$35.35	$55.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $83.46 / $131.90	Professional		$83.46	$83.46	$131.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $28.16 / $45.69	Professional	26	$28.16	$28.16	$45.69