Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.67 / $74.95 / $74.95	Facility	26	$37.67	$74.95	$74.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $211.16 / $384.41	Professional		$189.10	$211.16	$384.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.22 / $254.03 / $276.89	Professional		$245.22	$254.03	$276.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $275.56 / $588.86	Professional		$170.88	$275.56	$588.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.87 / $277.55 / $482.70	Professional		$209.87	$277.55	$482.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.87 / $53.23 / $90.60	Professional	26	$42.87	$53.23	$90.60
United Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $240.36 / $599.87	Professional		$189.32	$240.36	$599.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $192.28 / $313.67	Professional		$176.74	$192.28	$313.67