Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $912.01	Professional		$302.00	$436.52	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $416.87 / $501.19	Professional		$93.33	$416.87	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $891.25	Professional		$281.84	$512.86	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $512.86	Professional		$323.59	$380.19	$512.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $83.18 / $114.82	Professional	26	$74.13	$83.18	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $758.58	Professional		$295.12	$446.68	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $501.19	Professional		$309.03	$380.19	$501.19