Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	26	$57.68	$57.68	$57.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $259.66 / $370.09	Professional		$234.71	$259.66	$370.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $324.88 / $436.55	Professional		$324.88	$324.88	$436.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $342.09 / $732.68	Professional		$210.65	$342.09	$732.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $351.32 / $616.37	Professional		$258.72	$351.32	$616.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $82.58 / $138.58	Professional	26	$66.45	$82.58	$138.58
United Facility/Professional Professional Modifier Low / Median / High Price $252.52 / $332.48 / $684.54	Professional		$252.52	$332.48	$684.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.87 / $272.33 / $386.04	Professional		$217.87	$272.33	$386.04