Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.74 / $101.74 / $101.74	Facility	26	$101.74	$101.74	$101.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $280.62 / $382.59	Professional		$260.58	$280.62	$382.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $579.38 / $579.38 / $735.81	Professional		$579.38	$579.38	$735.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.23 / $632.66 / $1,280.47	Professional		$394.23	$632.66	$1,280.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.87 / $573.15 / $935.45	Professional		$451.87	$573.15	$935.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $117.94 / $139.29 / $194.09	Professional	26	$117.94	$139.29	$194.09
United Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $526.76 / $988.69	Professional		$243.19	$526.76	$988.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $337.91 / $439.28	Professional		$249.60	$337.91	$439.28