Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.02 / $20.02 / $20.02	Facility	26	$20.02	$20.02	$20.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $84.34 / $217.62	Professional		$73.19	$84.34	$217.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $107.60 / $136.65	Professional		$96.84	$107.60	$136.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $99.19 / $212.71	Professional		$62.28	$99.19	$212.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $105.35 / $156.84	Professional		$84.15	$105.35	$156.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $27.29 / $39.39	Professional	26	$22.93	$27.29	$39.39
United Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $92.75 / $169.29	Professional		$60.97	$92.75	$169.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $91.61 / $119.61	Professional		$67.31	$91.61	$119.61