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 $400.00 / $425.00 / $1,936.32	Professional		$400.00	$425.00	$1,936.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $640.58 / $711.75 / $1,096.34	Professional		$640.58	$711.75	$1,096.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.74 / $739.94 / $1,187.59	Professional		$381.74	$739.94	$1,187.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.78 / $568.61 / $853.21	Professional		$440.78	$568.61	$853.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $138.37 / $168.40 / $229.63	Professional	26	$138.37	$168.40	$229.63
United Facility/Professional Professional Modifier Low / Median / High Price $385.21 / $589.16 / $1,014.06	Professional		$385.21	$589.16	$1,014.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $352.62 / $479.16 / $622.91	Professional		$352.62	$479.16	$622.91