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 / $23.48	Facility	26	$23.48	$23.48	$23.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $126.06 / $298.55	Professional		$107.76	$126.06	$298.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $140.93 / $161.09	Professional		$111.44	$140.93	$161.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $133.94 / $287.52	Professional		$94.66	$133.94	$287.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $152.74 / $243.20	Professional		$120.22	$152.74	$243.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $32.40 / $46.44	Professional	26	$27.41	$32.40	$46.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $126.18 / $238.96	Professional		$81.48	$126.18	$238.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $141.43 / $183.69	Professional		$83.77	$141.43	$183.69