Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $478.63	Professional		$123.03	$173.78	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $229.09	Professional		$117.49	$158.49	$229.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $602.56	Professional		$114.82	$194.98	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $275.42	Professional		$151.36	$173.78	$275.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $57.54 / $77.62	Professional	26	$51.29	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $446.68	Professional		$131.83	$213.80	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $229.09	Professional		$151.36	$173.78	$229.09