Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $31.68 / $43.41	Facility	26	$31.67	$31.68	$43.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $296.87 / $679.92	Professional		$256.89	$296.87	$679.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $358.35 / $390.60	Professional		$285.95	$358.35	$390.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.82 / $371.10 / $772.31	Professional		$221.82	$371.10	$772.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.43 / $361.72 / $629.08	Professional		$272.43	$361.72	$629.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.99 / $44.72 / $77.78	Professional	26	$35.99	$44.72	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $226.60 / $310.95 / $659.08	Professional		$226.60	$310.95	$659.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.42 / $268.57 / $406.37	Professional		$229.42	$268.57	$406.37