Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $126.00	Facility	26	$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.84 / $425.00 / $1,306.71	Professional		$358.84	$425.00	$1,306.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.38 / $448.20 / $565.00	Professional		$403.38	$448.20	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.60 / $471.62 / $833.23	Professional		$247.60	$471.62	$833.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $374.22 / $545.10	Professional		$290.08	$374.22	$545.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.16 / $132.85 / $180.59	Professional	26	$109.16	$132.85	$180.59
United Facility/Professional Professional Modifier Low / Median / High Price $227.55 / $355.31 / $670.80	Professional		$227.55	$355.31	$670.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.07 / $314.30 / $408.59	Professional		$232.07	$314.30	$408.59