Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.59 / $98.13 / $142.50	Facility	26	$71.59	$98.13	$142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $126.29 / $314.57	Professional		$117.38	$126.29	$314.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $166.05 / $226.69	Professional		$162.19	$166.05	$226.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $172.25 / $343.76	Professional		$105.83	$172.25	$343.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $165.97 / $278.70	Professional		$138.16	$165.97	$278.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.69 / $100.76 / $171.72	Professional	26	$83.69	$100.76	$171.72
United Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $155.62 / $255.52	Professional		$113.24	$155.62	$255.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $158.88 / $192.19	Professional		$126.64	$158.88	$192.19