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 / $63.10	Facility	26	$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $630.96	Professional		$295.12	$380.19	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $380.19 / $436.52	Professional		$79.43	$380.19	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $1,000.00	Professional		$295.12	$407.38	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $676.08	Professional		$380.19	$436.52	$676.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $85.11 / $125.89	Professional	26	$74.13	$85.11	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $660.69	Professional		$275.42	$363.08	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $602.56	Professional		$309.03	$457.09	$602.56