Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $32.36	Facility	26	$23.44	$23.44	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $288.40	Professional		$60.26	$104.71	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $69.18 / $91.20	Professional		$26.30	$69.18	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $158.49	Professional		$54.95	$87.10	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $151.36	Professional		$70.79	$85.11	$151.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $32.36 / $46.77	Professional	26	$28.18	$32.36	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $144.54	Professional		$60.26	$77.62	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $107.15	Professional		$63.10	$91.20	$107.15