Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $74.34 / $95.41	Professional		$60.80	$74.34	$95.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.12 / $22.28 / $29.64	Professional	26	$20.12	$22.28	$29.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $77.01 / $114.74	Professional		$77.01	$77.01	$114.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $22.07 / $32.88	Professional	26	$22.07	$22.07	$32.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $89.76 / $157.93	Professional		$63.02	$89.76	$157.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $27.72 / $48.59	Professional	26	$20.14	$27.72	$48.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $74.42 / $101.48	Professional		$59.53	$74.42	$101.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $23.23 / $31.68	Professional	26	$18.59	$23.23	$31.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $84.44 / $134.26	Professional		$63.46	$84.44	$134.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $24.63 / $39.39	Professional	26	$18.55	$24.63	$39.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $64.08 / $96.47	Professional		$64.08	$64.08	$96.47
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.01 / $20.01 / $30.95	Professional	26	$20.01	$20.01	$30.95