Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $24.59 / $24.59	Facility	26	$24.59	$24.59	$24.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $89.98 / $155.13	Professional		$79.83	$89.98	$155.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $114.82 / $129.93	Professional		$103.34	$114.82	$129.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $109.73 / $206.38	Professional		$73.31	$109.73	$206.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $114.94 / $174.87	Professional		$95.78	$114.94	$174.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $34.09 / $47.18	Professional	26	$28.30	$34.09	$47.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $97.80 / $179.36	Professional		$79.58	$97.80	$179.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $110.15 / $136.35	Professional		$84.41	$110.15	$136.35