Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,584.89	Professional		$302.00	$478.63	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $512.86	Professional		$323.59	$407.38	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $891.25	Professional		$245.47	$457.09	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $524.81	Professional		$288.40	$338.84	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $123.03 / $165.96	Professional	26	$109.65	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $676.08	Professional		$263.03	$389.05	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $467.74	Professional		$288.40	$338.84	$467.74