Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.55 / $45.55 / $45.55	Facility	26	$45.55	$45.55	$45.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $118.05 / $747.13	Professional		$106.54	$118.05	$747.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $164.06 / $607.25	Professional		$149.33	$164.06	$607.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $183.25 / $567.49	Professional		$96.52	$183.25	$567.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $160.97 / $268.20	Professional		$124.79	$160.97	$268.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.06 / $64.62 / $97.62	Professional	26	$53.06	$64.62	$97.62
United Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $184.01 / $359.66	Professional		$108.40	$184.01	$359.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $134.10 / $177.45	Professional		$99.83	$134.10	$177.45