Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.78 / $73.48 / $75.84	Facility	26	$58.78	$73.48	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $118.26 / $264.08	Professional		$103.20	$118.26	$264.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $66.29 / $135.49	Professional	26	$58.79	$66.29	$135.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $109.70 / $197.46	Professional		$98.73	$109.70	$197.46
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $54.15 / $60.17 / $108.30	Professional	26	$54.15	$60.17	$108.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $146.63 / $274.39	Professional		$89.33	$146.63	$274.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.90 / $91.26 / $166.25	Professional	26	$57.90	$91.26	$166.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $124.41 / $169.65	Professional		$84.83	$124.41	$169.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $71.78 / $97.88	Professional	26	$48.94	$71.78	$97.88
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $133.28 / $234.38	Professional		$98.78	$133.28	$234.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.87 / $73.14 / $128.32	Professional	26	$53.87	$73.14	$128.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $129.86 / $162.33	Professional		$99.61	$129.86	$162.33
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $57.47 / $75.04 / $94.82	Professional	26	$57.47	$75.04	$94.82