Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $50.52 / $70.29	Professional		$44.95	$50.52	$70.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $59.30 / $88.36	Professional		$59.30	$59.30	$88.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $67.54 / $115.36	Professional		$48.89	$67.54	$115.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $60.10 / $87.13	Professional		$46.26	$60.10	$87.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $15.57 / $22.25	Professional	26	$12.44	$15.57	$22.25
United Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $58.26 / $88.56	Professional		$43.43	$58.26	$88.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $45.94 / $74.84	Professional		$45.94	$45.94	$74.84