Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.58 / $23.59 / $33.57	Facility	26	$23.58	$23.59	$33.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $66.31 / $213.16	Professional		$59.67	$66.31	$213.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $75.38 / $111.38	Professional		$65.95	$75.38	$111.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $87.04 / $162.37	Professional		$54.89	$87.04	$162.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $88.71 / $164.19	Professional		$70.97	$88.71	$164.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $34.56 / $55.37	Professional	26	$27.62	$34.56	$55.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $77.62 / $167.07	Professional		$59.81	$77.62	$167.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $81.62 / $101.37	Professional		$62.98	$81.62	$101.37