Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.52 / $64.40 / $94.56	Facility	26	$47.52	$64.40	$94.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $319.74 / $583.13	Professional		$286.47	$319.74	$583.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $342.34 / $348.27 / $481.59	Professional		$342.34	$348.27	$481.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.34 / $419.84 / $887.69	Professional		$255.34	$419.84	$887.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.60 / $379.63 / $722.72	Professional		$313.60	$379.63	$722.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $66.64 / $114.80	Professional	26	$53.67	$66.64	$114.80
United Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $352.02 / $646.89	Professional		$234.13	$352.02	$646.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $295.12 / $468.36	Professional		$264.08	$295.12	$468.36