Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $69.45 / $99.10	Professional		$61.12	$69.45	$99.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $121.90	Professional		$81.81	$81.81	$121.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $92.07 / $159.27	Professional		$65.19	$92.07	$159.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $79.51 / $120.53	Professional		$61.28	$79.51	$120.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $20.05 / $28.59	Professional	26	$16.04	$20.05	$28.59
United Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $81.83 / $139.71	Professional		$60.92	$81.83	$139.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $63.76 / $98.93	Professional		$63.76	$63.76	$98.93