Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.58 / $18.69 / $21.20	Facility	26	$15.58	$18.69	$21.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $93.17 / $411.00	Professional		$71.84	$93.17	$411.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $101.81 / $125.74	Professional		$78.56	$101.81	$125.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $94.21 / $210.31	Professional		$68.72	$94.21	$210.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $111.03 / $172.19	Professional		$87.39	$111.03	$172.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $21.38 / $32.34	Professional	26	$18.19	$21.38	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $87.70 / $161.63	Professional		$63.19	$87.70	$161.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $102.81 / $133.44	Professional		$59.53	$102.81	$133.44