Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.48 / $23.48 / $28.41	Facility	26	$23.48	$23.48	$28.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $131.99 / $284.56	Professional		$110.26	$131.99	$284.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $144.22 / $174.80	Professional		$114.88	$144.22	$174.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $132.38 / $278.22	Professional		$93.85	$132.38	$278.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $156.86 / $242.54	Professional		$126.76	$156.86	$242.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.40 / $32.40 / $46.44	Professional	26	$27.40	$32.40	$46.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $128.47 / $226.47	Professional		$81.77	$128.47	$226.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $149.13 / $193.53	Professional		$84.66	$149.13	$193.53