Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.65 / $61.16 / $65.23	Facility	26	$60.65	$61.16	$65.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $346.06 / $637.55	Professional		$309.11	$346.06	$637.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $56.90 / $135.47	Professional	26	$49.69	$56.90	$135.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $384.19 / $426.88 / $507.99	Professional		$384.19	$426.88	$507.99
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $48.34 / $53.71 / $67.14	Professional	26	$48.34	$53.71	$67.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.27 / $478.49 / $913.59	Professional		$265.27	$478.49	$913.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.78 / $77.94 / $142.32	Professional	26	$49.78	$77.94	$142.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.04 / $398.10 / $542.87	Professional		$258.04	$398.10	$542.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.12 / $61.78 / $84.24	Professional	26	$42.12	$61.78	$84.24
United Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $334.34 / $641.92	Professional		$208.46	$334.34	$641.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.80 / $59.04 / $110.73	Professional	26	$43.80	$59.04	$110.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $410.63 / $513.29	Professional		$259.02	$410.63	$513.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $40.20 / $64.58 / $81.54	Professional	26	$40.20	$64.58	$81.54