Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.08 / $46.08 / $46.08	Facility	26	$46.08	$46.08	$46.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $122.74 / $793.10	Professional		$111.55	$122.74	$793.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $167.04 / $607.16	Professional		$150.33	$167.04	$607.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $189.41 / $567.10	Professional		$101.26	$189.41	$567.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $168.87 / $282.12	Professional		$130.91	$168.87	$282.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $65.28 / $97.61	Professional	26	$53.81	$65.28	$97.61
United Facility/Professional Professional Modifier Low / Median / High Price $121.31 / $191.74 / $370.85	Professional		$121.31	$191.74	$370.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $141.06 / $186.36	Professional		$104.73	$141.06	$186.36