Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.81 / $81.81 / $105.31	Facility	26	$81.81	$81.81	$105.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $163.25 / $398.27	Professional		$137.75	$163.25	$398.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.89 / $183.09 / $258.16	Professional		$182.89	$183.09	$258.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $211.90 / $473.62	Professional		$156.51	$211.90	$473.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $193.61 / $272.88	Professional		$153.27	$193.61	$272.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.78 / $103.82 / $150.72	Professional	26	$80.78	$103.82	$150.72
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $179.27 / $287.92	Professional		$129.91	$179.27	$287.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $135.82 / $242.01	Professional		$129.75	$135.82	$242.01