Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $1,288.25	Professional		$380.19	$512.86	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $478.63 / $630.96	Professional		$77.62	$478.63	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,513.56	Professional		$363.08	$575.44	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $912.01	Professional		$478.63	$645.65	$912.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $83.18 / $131.83	Professional	26	$70.79	$83.18	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $870.96	Professional		$263.03	$457.09	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $870.96	Professional		$331.13	$676.08	$870.96