Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $64.57	Facility	26	$58.88	$58.88	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $208.93	Professional		$83.18	$100.00	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $117.49	Professional		$43.65	$85.11	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $223.87	Professional		$83.18	$125.89	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $147.91	Professional		$74.13	$107.15	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $83.18	Professional	26	$41.69	$58.88	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $199.53	Professional		$79.43	$117.49	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $141.25	Professional		$81.28	$114.82	$141.25