Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $602.56	Professional		$144.54	$194.98	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $177.83 / $204.17	Professional		$23.44	$177.83	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $389.05	Professional		$141.25	$218.78	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $354.81	Professional		$173.78	$208.93	$354.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $22.91 / $37.15	Professional	26	$19.50	$22.91	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $398.11	Professional		$123.03	$190.55	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $288.40	Professional		$158.49	$208.93	$288.40