Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.71 / $148.71 / $165.44	Facility	26	$148.71	$148.71	$165.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.17 / $887.60 / $2,203.41	Professional		$822.17	$887.60	$2,203.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $884.30 / $993.58 / $1,123.06	Professional		$884.30	$993.58	$1,123.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.55 / $1,152.83 / $2,055.42	Professional		$806.55	$1,152.83	$2,055.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $853.26 / $1,100.71 / $2,033.39	Professional		$853.26	$1,100.71	$2,033.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $132.19 / $170.54 / $284.02	Professional	26	$132.19	$170.54	$284.02
United Facility/Professional Professional Modifier Low / Median / High Price $693.23 / $943.46 / $1,670.28	Professional		$693.23	$943.46	$1,670.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $646.25 / $646.25 / $1,206.27	Professional		$646.25	$646.25	$1,206.27