Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $218.78	Professional		$70.79	$91.20	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $67.61 / $93.33	Professional		$22.91	$67.61	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $190.55	Professional		$60.26	$95.50	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $134.90	Professional		$89.13	$102.33	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $26.92 / $36.31	Professional	26	$23.99	$26.92	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $169.82	Professional		$58.88	$93.33	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $134.90	Professional		$79.43	$104.71	$134.90