Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $588.84	Professional		$302.00	$371.54	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $363.08 / $426.58	Professional		$47.86	$363.08	$426.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	26	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $831.76	Professional		$288.40	$436.52	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $575.44	Professional		$371.54	$407.38	$575.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $51.29 / $69.18	Professional	26	$45.71	$51.29	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $776.25	Professional		$331.13	$426.58	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $588.84	Professional		$331.13	$426.58	$588.84