Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	26	$24.55	$24.55	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $177.83	Professional		$77.62	$93.33	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $114.82	Professional		$67.61	$93.33	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $204.17	Professional		$74.13	$107.15	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $147.91	Professional		$93.33	$112.20	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $33.11 / $43.65	Professional	26	$27.54	$33.11	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $181.97	Professional		$79.43	$97.72	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $144.54	Professional		$85.11	$123.03	$144.54