Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.39 / $21.39 / $21.39	Facility	26	$21.39	$21.39	$21.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $100.07 / $668.46	Professional		$92.23	$100.07	$668.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $137.15 / $574.30	Professional		$123.43	$137.15	$574.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $157.18 / $501.18	Professional		$84.79	$157.18	$501.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $141.41 / $238.88	Professional		$109.62	$141.41	$238.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.20 / $29.91 / $45.27	Professional	26	$25.20	$29.91	$45.27
United Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $164.52 / $325.68	Professional		$102.03	$164.52	$325.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $119.44 / $155.55	Professional		$87.70	$119.44	$155.55