Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.28 / $63.29 / $90.57	Facility	26	$63.28	$63.29	$90.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $234.30 / $496.61	Professional		$189.49	$234.30	$496.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $215.43 / $286.85	Professional		$215.43	$215.43	$286.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.06 / $267.05 / $673.56	Professional		$193.06	$267.05	$673.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.48 / $332.15 / $541.29	Professional		$257.48	$332.15	$541.29
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 $153.05 / $222.67 / $391.00	Professional		$153.05	$222.67	$391.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $293.04 / $364.88	Professional		$158.57	$293.04	$364.88