Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.15 / $33.15 / $33.15	Facility	26	$33.15	$33.15	$33.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $122.42 / $429.04	Professional		$60.38	$122.42	$429.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $299.22 / $794.05 / $858.08	Professional	50	$299.22	$794.05	$858.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $97.65 / $196.06	Professional		$87.89	$97.65	$196.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $136.76 / $247.76	Professional		$54.72	$136.76	$247.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $87.03 / $166.87	Professional		$69.62	$87.03	$166.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $48.58 / $85.36	Professional	26	$38.86	$48.58	$85.36
United Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $121.87 / $209.11	Professional		$79.66	$121.87	$209.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $80.06 / $99.90	Professional		$69.62	$80.06	$99.90