Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.55 / $19.55 / $19.55	Facility	26	$19.55	$19.55	$19.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $179.60 / $434.63	Professional		$158.81	$179.60	$434.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $214.72 / $234.04	Professional		$153.44	$214.72	$234.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $230.25 / $499.92	Professional		$145.01	$230.25	$499.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $226.20 / $411.28	Professional		$178.11	$226.20	$411.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $27.67 / $47.49	Professional	26	$22.26	$27.67	$47.49
United Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $194.74 / $505.79	Professional		$130.94	$194.74	$505.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $161.18 / $265.49	Professional		$149.97	$161.18	$265.49