Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,096.48	Professional		$338.84	$457.09	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $446.68 / $537.03	Professional		$104.71	$446.68	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $933.25	Professional		$295.12	$549.54	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $616.60	Professional		$346.74	$398.11	$616.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $117.49	Professional	26	$75.86	$85.11	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $812.83	Professional		$316.23	$478.63	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $549.54	Professional		$346.74	$407.38	$549.54