Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $371.54	Professional		$100.00	$141.25	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $162.18	Professional		$50.12	$114.82	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $575.44	Professional		$91.20	$162.18	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $245.47	Professional		$120.23	$134.90	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $60.26 / $81.28	Professional	26	$53.70	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $446.68	Professional		$109.65	$177.83	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $181.97	Professional		$117.49	$138.04	$181.97