Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $161.82 / $284.33	Professional		$141.51	$161.82	$284.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.93 / $69.03 / $169.42	Professional	26	$59.93	$69.03	$169.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $171.60 / $271.54	Professional		$154.44	$171.60	$271.54
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $67.90 / $107.96	Professional	26	$67.90	$67.90	$107.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $191.71 / $337.29	Professional		$142.96	$191.71	$337.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.62 / $81.54 / $141.57	Professional	26	$62.62	$81.54	$141.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $182.06 / $260.08	Professional		$141.37	$182.06	$260.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.55 / $74.44 / $108.27	Professional	26	$59.55	$74.44	$108.27
United Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $175.13 / $310.26	Professional		$128.32	$175.13	$310.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.57 / $72.75 / $114.40	Professional	26	$54.57	$72.75	$114.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $229.22	Professional		$128.69	$128.69	$229.22
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $54.21 / $55.21 / $98.15	Professional	26	$54.21	$55.21	$98.15