Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.36 / $47.36 / $47.36	Facility	26	$47.36	$47.36	$47.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.46 / $233.02 / $304.51	Professional		$206.46	$233.02	$304.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $268.14 / $352.34	Professional		$268.14	$268.14	$352.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $304.85 / $684.99	Professional		$200.85	$304.85	$684.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $336.50 / $570.60	Professional		$260.85	$336.50	$570.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.56 / $72.95 / $119.10	Professional	26	$56.56	$72.95	$119.10
United Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $271.12 / $624.41	Professional		$186.73	$271.12	$624.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.08 / $296.27 / $370.89	Professional		$196.08	$296.27	$370.89