Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.75 / $241.75 / $241.75	Facility	26	$241.75	$241.75	$241.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.19 / $857.43 / $2,120.38	Professional		$791.19	$857.43	$2,120.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,081.55 / $1,081.55 / $1,421.16	Professional		$1,081.55	$1,081.55	$1,421.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.19 / $1,079.20 / $2,471.59	Professional		$727.19	$1,079.20	$2,471.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.95 / $1,225.44 / $2,069.02	Professional		$949.95	$1,225.44	$2,069.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $288.95 / $372.75 / $603.52	Professional	26	$288.95	$372.75	$603.52
United Facility/Professional Professional Modifier Low / Median / High Price $673.27 / $927.98 / $1,620.26	Professional		$673.27	$927.98	$1,620.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $793.10 / $1,081.06 / $1,344.86	Professional		$793.10	$1,081.06	$1,344.86