Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $141.25	Facility	26	$70.79	$70.79	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $446.68	Professional		$112.20	$151.36	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $131.83 / $199.53	Professional		$53.70	$131.83	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $363.08	Professional		$104.71	$169.82	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $239.88	Professional		$134.90	$154.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $93.33 / $141.25	Professional	26	$83.18	$93.33	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $257.04	Professional		$112.20	$154.88	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $213.80	Professional		$125.89	$158.49	$213.80