Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $72.64 / $180.87	Professional		$65.09	$72.64	$180.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $19.71 / $52.52	Professional	26	$17.44	$19.71	$52.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $76.06 / $87.87	Professional		$68.45	$76.06	$87.87
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $19.57 / $24.87	Professional	26	$17.62	$19.57	$24.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $86.15 / $185.90	Professional		$43.68	$86.15	$185.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $25.32 / $48.75	Professional	26	$16.63	$25.32	$48.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $90.96 / $154.06	Professional		$70.51	$90.96	$154.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $24.85 / $39.53	Professional	26	$19.26	$24.85	$39.53
United Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $72.81 / $128.22	Professional		$35.33	$72.81	$128.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.22 / $20.96 / $38.04	Professional	26	$15.22	$20.96	$38.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $81.09 / $100.47	Professional		$58.33	$81.09	$100.47
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.94 / $22.15 / $28.01	Professional	26	$15.94	$22.15	$28.01