Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.79 / $58.79 / $58.79	Facility	26	$58.79	$58.79	$58.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $212.03 / $522.50	Professional		$192.92	$212.03	$522.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $326.44 / $403.21	Professional		$315.02	$326.44	$403.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.88 / $325.30 / $586.21	Professional		$188.88	$325.30	$586.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $261.68 / $416.92	Professional		$222.25	$261.68	$416.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $79.08 / $112.20	Professional	26	$67.58	$79.08	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $215.79 / $352.25 / $860.01	Professional		$215.79	$352.25	$860.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.23 / $242.30 / $314.99	Professional		$178.23	$242.30	$314.99