Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $78.17 / $338.66	Professional		$57.71	$78.17	$338.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $19.87 / $52.52	Professional	26	$17.44	$19.87	$52.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $83.22 / $88.21	Professional		$74.89	$83.22	$88.21
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $20.94 / $26.59	Professional	26	$18.84	$20.94	$26.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $89.46 / $201.00	Professional		$41.77	$89.46	$201.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $25.35 / $48.75	Professional	26	$16.63	$25.35	$48.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $98.16 / $161.63	Professional		$76.09	$98.16	$161.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $24.85 / $39.56	Professional	26	$19.26	$24.85	$39.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $75.06 / $153.12	Professional		$35.31	$75.06	$153.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $21.28 / $37.96	Professional	26	$14.67	$21.28	$37.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $87.50 / $108.36	Professional		$58.94	$87.50	$108.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $22.15 / $28.01	Professional	26	$14.92	$22.15	$28.01