Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $338.84	Professional		$114.82	$154.88	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $138.04 / $158.49	Professional		$22.91	$138.04	$158.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $263.03	Professional		$60.26	$104.71	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $213.80	Professional		$138.04	$162.18	$213.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $35.48	Professional	26	$21.88	$26.92	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $288.40	Professional		$58.88	$125.89	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $165.96 / $223.87	Professional		$58.88	$165.96	$223.87