Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $42.66 / $64.57	Professional		$14.13	$42.66	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $47.86 / $102.33	Professional	26	$16.98	$47.86	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $47.86	Professional		$38.02	$41.69	$47.86
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $38.90 / $43.65	Professional	26	$34.67	$38.90	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $72.44	Professional		$48.98	$56.23	$72.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $52.48 / $67.61	Professional	26	$45.71	$52.48	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.29 / $1.29	Facility		$1.23	$1.29	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $45.71	Professional		$16.22	$24.55	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $24.55 / $44.67	Professional	26	$16.22	$24.55	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $58.88 / $74.13	Professional		$19.50	$58.88	$74.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $69.18	Professional	26	$45.71	$60.26	$69.18