Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $48.25 / $71.00	Professional		$43.54	$48.25	$71.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $70.66 / $118.35	Professional		$70.66	$70.66	$118.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $68.98 / $138.99	Professional		$46.44	$68.98	$138.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $57.36 / $87.98	Professional		$44.05	$57.36	$87.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.41 / $15.86	Professional	26	$8.32	$10.41	$15.86
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $66.87 / $111.21	Professional		$45.75	$66.87	$111.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $50.06 / $70.89	Professional		$50.06	$50.06	$70.89