Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.29 / $63.29 / $90.57	Facility	26	$63.29	$63.29	$90.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $139.18 / $178.92	Professional		$129.65	$139.18	$178.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $166.22 / $218.42	Professional		$166.22	$166.22	$218.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $174.39 / $403.11	Professional		$119.75	$174.39	$403.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $199.70 / $334.68	Professional		$154.81	$199.70	$334.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.16 / $96.96 / $157.68	Professional	26	$75.16	$96.96	$157.68
United Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $155.71 / $266.30	Professional		$108.75	$155.71	$266.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $177.13 / $217.54	Professional		$122.95	$177.13	$217.54