Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $398.11	Professional		$58.88	$100.00	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $794.33 / $851.14	Professional	50	$302.00	$794.33	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $97.72	Professional		$45.71	$75.86	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $251.19	Professional		$56.23	$154.88	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $177.83	Professional		$72.44	$85.11	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $97.72	Professional	26	$39.81	$45.71	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $223.87	Professional		$79.43	$128.82	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $104.71	Professional		$69.18	$89.13	$104.71