Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.85 / $52.86 / $72.43	Facility	26	$52.85	$52.86	$72.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $149.93 / $691.00	Professional		$119.87	$149.93	$691.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $149.43 / $186.65	Professional		$120.36	$149.43	$186.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $159.28 / $343.12	Professional		$109.66	$159.28	$343.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $226.22 / $282.77	Professional		$180.32	$226.22	$282.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.35 / $78.00 / $97.50	Professional	26	$63.35	$78.00	$97.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $142.56 / $286.97	Professional		$98.76	$142.56	$286.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $206.77 / $254.18	Professional		$94.81	$206.77	$254.18