Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $398.11	Professional		$141.25	$169.82	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $275.42	Professional	26	$61.66	$81.28	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $154.88 / $218.78	Professional		$63.10	$154.88	$218.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $70.79 / $104.71	Professional	26	$69.18	$70.79	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $75.86 / $109.65	Facility	26	$16.22	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $309.03	Professional		$144.54	$190.55	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $131.83	Professional	26	$61.66	$81.28	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $263.03	Professional		$147.91	$190.55	$263.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $74.13 / $104.71	Professional	26	$58.88	$74.13	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $309.03	Professional		$128.82	$181.97	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $125.89	Professional	26	$54.95	$75.86	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $251.19	Professional		$128.82	$204.17	$251.19
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $100.00	Professional	26	$53.70	$81.28	$100.00