Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.85 / $48.85 / $48.85	Facility	26	$48.85	$48.85	$48.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $413.51 / $541.92	Professional		$300.74	$413.51	$541.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.30 / $384.77 / $488.66	Professional		$346.30	$384.77	$488.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.93 / $522.19 / $1,210.33	Professional		$348.93	$522.19	$1,210.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.60 / $560.69 / $973.05	Professional		$392.60	$560.69	$973.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.88 / $74.31 / $111.64	Professional	26	$54.88	$74.31	$111.64
United Facility/Professional Professional Modifier Low / Median / High Price $264.11 / $458.46 / $839.41	Professional		$264.11	$458.46	$839.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $525.83 / $662.64	Professional		$351.04	$525.83	$662.64