Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.64 / $71.64 / $71.64	Facility	26	$71.64	$71.64	$71.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.77 / $643.27 / $796.99	Professional		$569.77	$643.27	$796.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $842.83 / $885.78 / $965.50	Professional		$842.83	$885.78	$965.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.33 / $1,115.47 / $2,436.21	Professional		$622.33	$1,115.47	$2,436.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.33 / $780.40 / $1,445.18	Professional		$622.33	$780.40	$1,445.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $96.81 / $176.02	Professional	26	$79.73	$96.81	$176.02
United Facility/Professional Professional Modifier Low / Median / High Price $551.91 / $734.42 / $1,298.96	Professional		$551.91	$734.42	$1,298.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.78 / $636.75 / $933.50	Professional		$526.78	$636.75	$933.50