Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.73 / $45.73 / $45.73	Facility	26	$45.73	$45.73	$45.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $142.22 / $576.34	Professional		$100.99	$142.22	$576.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $154.26 / $583.82	Professional		$146.93	$154.26	$583.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $180.25 / $540.47	Professional		$91.51	$180.25	$540.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $152.62 / $253.52	Professional		$118.31	$152.62	$253.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $65.08 / $96.41	Professional	26	$53.40	$65.08	$96.41
United Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $181.08 / $348.35	Professional		$110.74	$181.08	$348.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $126.76 / $168.03	Professional		$94.65	$126.76	$168.03