Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.45 / $58.45 / $58.45	Facility	26	$58.45	$58.45	$58.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $133.68 / $382.25	Professional		$116.61	$133.68	$382.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $162.97 / $206.98	Professional		$146.68	$162.97	$206.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $155.76 / $305.35	Professional		$106.01	$155.76	$305.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $165.41 / $241.67	Professional		$137.05	$165.41	$241.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.79 / $79.73 / $104.00	Professional	26	$60.79	$79.73	$104.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $133.66 / $227.75	Professional		$101.51	$133.66	$227.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $146.88 / $195.62	Professional		$108.66	$146.88	$195.62