Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.30 / $29.31 / $40.07	Facility	26	$29.30	$29.31	$40.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $126.37 / $594.78	Professional		$103.37	$126.37	$594.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $141.93 / $181.67	Professional		$120.07	$141.93	$181.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $133.12 / $256.91	Professional		$91.43	$133.12	$256.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $148.65 / $212.54	Professional		$118.20	$148.65	$212.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $41.60 / $60.57	Professional	26	$34.36	$41.60	$60.57
United Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $120.65 / $224.33	Professional		$88.24	$120.65	$224.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $135.93 / $168.38	Professional		$96.05	$135.93	$168.38