Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $30.82 / $30.82	Facility	26	$30.82	$30.82	$30.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $169.81 / $215.86	Professional		$151.88	$169.81	$215.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.82 / $202.03 / $228.29	Professional		$181.82	$202.03	$228.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $224.08 / $475.74	Professional		$137.37	$224.08	$475.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $213.35 / $387.90	Professional		$168.71	$213.35	$387.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $43.50 / $73.38	Professional	26	$35.02	$43.50	$73.38
United Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $183.06 / $457.14	Professional		$135.05	$183.06	$457.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $149.51 / $252.11	Professional		$142.07	$149.51	$252.11