Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $91.20	Facility	26	$67.61	$67.61	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $741.31	Professional		$213.80	$338.84	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $257.04 / $323.59	Professional		$74.13	$257.04	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $524.81	Professional		$177.83	$257.04	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $467.74	Professional		$257.04	$316.23	$467.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $93.33 / $134.90	Professional	26	$81.28	$93.33	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $501.19	Professional		$154.88	$263.03	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $407.38	Professional		$223.87	$346.74	$407.38