Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.57 / $24.57 / $48.89	Facility	26	$24.57	$24.57	$48.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $102.11 / $456.48	Professional		$55.60	$102.11	$456.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $116.56 / $128.22	Professional		$70.36	$116.56	$128.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $98.64 / $218.00	Professional		$70.89	$98.64	$218.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $137.47 / $204.16	Professional		$106.57	$137.47	$204.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $36.61 / $59.31	Professional	26	$28.25	$36.61	$59.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $89.15 / $180.72	Professional		$51.35	$89.15	$180.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $122.56 / $151.63	Professional		$74.81	$122.56	$151.63