Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $112.20	Professional		$42.66	$52.48	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $63.10 / $97.72	Professional		$13.18	$63.10	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $134.90	Professional		$46.77	$67.61	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $81.28	Professional		$45.71	$58.88	$81.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.47 / $15.14	Professional	26	$8.51	$10.47	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $120.23	Professional		$46.77	$67.61	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $77.62	Professional		$50.12	$61.66	$77.62