Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.99 / $25.99 / $25.99	Facility	26	$25.99	$25.99	$25.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $209.73 / $419.45	Professional		$169.28	$209.73	$419.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $249.44 / $271.89	Professional		$183.04	$249.44	$271.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $287.08 / $638.57	Professional		$182.05	$287.08	$638.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $273.91 / $458.84	Professional		$221.74	$273.91	$458.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $37.09 / $64.50	Professional	26	$29.75	$37.09	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $235.99 / $458.80	Professional		$144.12	$235.99	$458.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.54 / $190.38 / $336.87	Professional		$159.54	$190.38	$336.87