Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.33 / $46.33 / $46.33	Facility	26	$46.33	$46.33	$46.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $147.43 / $283.45	Professional		$105.77	$147.43	$283.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $161.66 / $605.99	Professional		$150.69	$161.66	$605.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $183.60 / $564.30	Professional		$94.97	$183.60	$564.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.65 / $156.93 / $261.26	Professional		$121.65	$156.93	$261.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $64.23 / $95.84	Professional	26	$53.05	$64.23	$95.84
United Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $185.38 / $350.35	Professional		$115.23	$185.38	$350.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.32 / $130.63 / $173.01	Professional		$97.32	$130.63	$173.01