Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.43 / $20.43 / $20.43	Facility	26	$20.43	$20.43	$20.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $136.46 / $273.79	Professional		$119.00	$136.46	$273.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $139.83 / $158.22	Professional		$85.20	$139.83	$158.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $108.35 / $304.39	Professional		$62.55	$108.35	$304.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $174.77 / $230.96	Professional		$131.33	$174.77	$230.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $28.03 / $36.56	Professional	26	$21.08	$28.03	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $126.54 / $242.52	Professional		$58.84	$126.54	$242.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $151.97 / $197.00	Professional		$58.37	$151.97	$197.00