Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.39 / $19.39 / $19.39	Facility	26	$19.39	$19.39	$19.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $208.42 / $512.00	Professional		$170.91	$208.42	$512.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.39 / $248.04 / $283.50	Professional		$197.39	$248.04	$283.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $203.69 / $456.00	Professional		$151.62	$203.69	$456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.69 / $298.88 / $545.52	Professional		$231.69	$298.88	$545.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.12 / $28.35 / $48.70	Professional	26	$22.12	$28.35	$48.70
United Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $193.75 / $376.60	Professional		$121.81	$193.75	$376.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $141.72 / $328.11	Professional		$141.72	$141.72	$328.11