Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.12 / $47.12 / $47.12	Facility	26	$47.12	$47.12	$47.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $205.90 / $753.71	Professional		$186.02	$205.90	$753.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $252.57 / $252.57 / $368.54	Professional		$252.57	$252.57	$368.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $271.55 / $579.47	Professional		$167.85	$271.55	$579.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.15 / $279.93 / $481.91	Professional		$206.15	$279.93	$481.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $66.70 / $113.30	Professional	26	$53.69	$66.70	$113.30
United Facility/Professional Professional Modifier Low / Median / High Price $194.54 / $265.12 / $411.08	Professional		$194.54	$265.12	$411.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $217.00 / $307.44	Professional		$173.60	$217.00	$307.44