Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $87.10	Facility	26	$63.10	$63.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $446.68	Professional		$120.23	$151.36	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $165.96	Professional		$70.79	$147.91	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $407.38	Professional		$117.49	$165.96	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $263.03	Professional		$151.36	$177.83	$263.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $85.11 / $123.03	Professional	26	$74.13	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $275.42	Professional		$109.65	$151.36	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $234.42	Professional		$123.03	$181.97	$234.42