Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $160.00 / $174.92	Professional		$46.02	$160.00	$174.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $28.46 / $29.83	Professional	26	$26.07	$28.46	$29.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $215.05	Professional		$158.02	$158.02	$215.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $37.76	Professional	26	$28.27	$28.27	$37.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $232.51 / $362.56	Professional		$175.08	$232.51	$362.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $41.53 / $68.16	Professional	26	$32.19	$41.53	$68.16
United Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $115.13 / $201.51	Professional		$61.21	$115.13	$201.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $32.84 / $70.34	Professional	26	$22.30	$32.84	$70.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.43 / $211.93 / $262.83	Professional		$147.43	$211.93	$262.83
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $37.02 / $46.68	Professional	26	$25.75	$37.02	$46.68