Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.01 / $59.01 / $66.77	Facility	26	$59.01	$59.01	$66.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $92.31 / $137.25	Professional		$83.07	$92.31	$137.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $89.11 / $160.40	Professional		$80.20	$89.11	$160.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $118.46 / $222.43	Professional		$78.38	$118.46	$222.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $99.99 / $136.35	Professional		$68.18	$99.99	$136.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.35 / $57.72 / $78.70	Professional	26	$39.35	$57.72	$78.70
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $111.96 / $195.44	Professional		$78.23	$111.96	$195.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $104.27 / $130.34	Professional		$80.77	$104.27	$130.34