Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.70 / $35.64 / $42.12	Facility	26	$29.70	$35.64	$42.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $214.74 / $393.45	Professional		$192.63	$214.74	$393.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $245.64 / $267.75	Professional		$188.17	$245.64	$267.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $281.18 / $594.54	Professional		$171.74	$281.18	$594.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.93 / $262.54 / $486.18	Professional		$210.93	$262.54	$486.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $41.62 / $71.55	Professional	26	$33.70	$41.62	$71.55
United Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $235.08 / $431.64	Professional		$148.09	$235.08	$431.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.62 / $198.08 / $314.69	Professional		$177.62	$198.08	$314.69