Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $831.76	Professional		$302.00	$416.87	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $549.54	Professional		$323.59	$446.68	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $870.96	Professional		$295.12	$457.09	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $537.03	Professional		$346.74	$389.05	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $109.65 / $151.36	Professional	26	$97.72	$109.65	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,023.29	Professional		$331.13	$512.86	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $562.34	Professional		$346.74	$407.38	$562.34