Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $53.10 / $73.54	Professional		$47.95	$53.10	$73.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $77.08 / $114.85	Professional		$77.08	$77.08	$114.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $70.56 / $120.74	Professional		$50.30	$70.56	$120.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $62.74 / $89.63	Professional		$48.31	$62.74	$89.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $13.82 / $19.88	Professional	26	$11.05	$13.82	$19.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $65.48 / $104.84	Professional		$46.16	$65.48	$104.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $51.93 / $77.76	Professional		$51.93	$51.93	$77.76