Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.06 / $72.06 / $102.75	Facility	26	$72.06	$72.06	$102.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $181.64 / $452.51	Professional		$133.50	$181.64	$452.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $222.10 / $309.33	Professional		$158.81	$222.10	$309.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $216.51 / $444.75	Professional		$148.58	$216.51	$444.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $233.78 / $402.00	Professional		$185.08	$233.78	$402.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.48 / $101.38 / $177.94	Professional	26	$84.48	$101.38	$177.94
United Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $202.46 / $368.90	Professional		$139.84	$202.46	$368.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $224.04 / $279.05	Professional		$164.55	$224.04	$279.05