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 $279.95 / $425.00 / $1,310.66	Professional		$279.95	$425.00	$1,310.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.36 / $473.60 / $577.12	Professional		$462.36	$473.60	$577.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $520.13 / $852.71	Professional		$236.12	$520.13	$852.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $356.45 / $613.75	Professional		$276.32	$356.45	$613.75
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 $257.77 / $371.58 / $803.80	Professional		$257.77	$371.58	$803.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.06 / $300.92 / $391.20	Professional		$221.06	$300.92	$391.20