Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.89 / $44.89 / $44.89	Facility	26	$44.89	$44.89	$44.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $174.69 / $648.07	Professional		$126.59	$174.69	$648.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $188.63 / $606.41	Professional		$170.99	$188.63	$606.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $212.90 / $566.98	Professional		$115.77	$212.90	$566.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $193.07 / $321.05	Professional		$149.66	$193.07	$321.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $62.17 / $95.84	Professional	26	$51.25	$62.17	$95.84
United Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $217.07 / $426.02	Professional		$132.75	$217.07	$426.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $161.88 / $213.00	Professional		$119.74	$161.88	$213.00