Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.50 / $85.50 / $85.50	Facility	26	$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $229.60 / $456.69	Professional		$165.44	$229.60	$456.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.53 / $269.79 / $366.91	Professional		$219.53	$269.79	$366.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $234.59 / $532.14	Professional		$175.94	$234.59	$532.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $322.39 / $458.67	Professional		$247.73	$322.39	$458.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $96.49 / $121.88 / $170.51	Professional	26	$96.49	$121.88	$170.51
United Facility/Professional Professional Modifier Low / Median / High Price $176.82 / $236.20 / $423.51	Professional		$176.82	$236.20	$423.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $308.97 / $383.40	Professional		$164.80	$308.97	$383.40