Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $48.77 / $204.00	Professional		$39.58	$48.77	$204.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $96.85	Professional		$65.00	$65.00	$96.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $64.34 / $113.06	Professional		$45.22	$64.34	$113.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $57.14 / $80.93	Professional		$44.47	$57.14	$80.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.33 / $4.16 / $6.15	Professional	26	$3.33	$4.16	$6.15
United Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $60.99 / $102.25	Professional		$41.34	$60.99	$102.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $48.36 / $71.43	Professional		$48.36	$48.36	$71.43