Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $575.44	Professional		$181.97	$275.42	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $281.84 / $331.13	Professional		$83.18	$281.84	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $549.54	Professional		$186.21	$288.40	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $338.84	Professional		$218.78	$251.19	$338.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $75.86 / $102.33	Professional	26	$66.07	$75.86	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $954.99	Professional		$213.80	$354.81	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $354.81	Professional		$218.78	$263.03	$354.81