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 / $89.13	Facility	26	$63.10	$63.10	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $758.58	Professional		$186.21	$257.04	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $288.40	Professional		$181.97	$251.19	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $676.08	Professional		$177.83	$251.19	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $426.58	Professional		$251.19	$295.12	$426.58
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 $154.88 / $218.78 / $398.11	Professional		$154.88	$218.78	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $398.11	Professional		$158.49	$302.00	$398.11