Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $66.07	Facility	26	$47.86	$47.86	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $588.84	Professional		$102.33	$199.53	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $141.25	Professional		$67.61	$120.23	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $263.03	Professional		$91.20	$141.25	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $204.17	Professional		$123.03	$141.25	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $97.72	Professional	26	$57.54	$67.61	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $229.09	Professional		$97.72	$123.03	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $177.83	Professional		$100.00	$151.36	$177.83