Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $126.00	Facility	26	$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.89 / $425.00 / $1,350.99	Professional		$353.89	$425.00	$1,350.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $520.97 / $578.86 / $655.02	Professional		$520.97	$578.86	$655.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $565.46 / $933.15	Professional		$298.91	$565.46	$933.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.45 / $448.21 / $759.16	Professional		$347.45	$448.21	$759.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.93 / $92.39 / $127.40	Professional	26	$75.93	$92.39	$127.40
United Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $455.41 / $883.74	Professional		$279.95	$455.41	$883.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $379.58 / $493.45	Professional		$277.95	$379.58	$493.45