Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.29 / $63.29 / $63.29	Facility	26	$63.29	$63.29	$63.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $351.81 / $445.33	Professional		$322.70	$351.81	$445.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $421.28 / $553.55	Professional		$421.28	$421.28	$553.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $446.10 / $1,004.39	Professional		$294.50	$446.10	$1,004.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.58 / $494.82 / $839.70	Professional		$383.58	$494.82	$839.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.16 / $96.96 / $158.50	Professional	26	$75.16	$96.96	$158.50
United Facility/Professional Professional Modifier Low / Median / High Price $269.07 / $366.67 / $646.85	Professional		$269.07	$366.67	$646.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $435.36 / $545.80	Professional		$307.58	$435.36	$545.80