Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.44 / $28.45 / $38.97	Facility	26	$28.44	$28.45	$38.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $96.53 / $284.64	Professional		$78.34	$96.53	$284.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $105.39 / $120.46	Professional		$94.85	$105.39	$120.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $108.89 / $201.81	Professional		$71.02	$108.89	$201.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $113.07 / $191.10	Professional		$90.62	$113.07	$191.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.35 / $40.10 / $70.20	Professional	26	$33.35	$40.10	$70.20
United Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $99.25 / $168.05	Professional		$76.34	$99.25	$168.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $104.21 / $129.44	Professional		$77.68	$104.21	$129.44