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 / $48.98	Facility	26	$24.55	$24.55	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $263.03	Professional		$63.10	$100.00	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $131.83	Professional		$87.10	$104.71	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $223.87	Professional		$67.61	$93.33	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $204.17	Professional		$109.65	$125.89	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $33.11 / $58.88	Professional	26	$29.51	$33.11	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $177.83	Professional		$53.70	$89.13	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $173.78	Professional		$74.13	$131.83	$173.78