Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.05 / $67.88 / $74.34	Facility	26	$28.05	$67.88	$74.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $119.25	Professional		$49.28	$49.28	$119.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.05 / $28.05 / $74.34	Professional	26	$28.05	$28.05	$74.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $151.77	Professional		$59.04	$60.16	$151.77
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $35.97 / $61.90	Professional	26	$33.63	$35.97	$61.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $63.66 / $126.92	Professional		$49.06	$63.66	$126.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.02 / $38.75 / $94.15	Professional	26	$28.02	$38.75	$94.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $114.30 / $114.30	Professional		$51.91	$114.30	$114.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.57 / $65.11 / $65.11	Professional	26	$29.57	$65.11	$65.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $71.65 / $129.40	Professional		$45.86	$71.65	$129.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.16 / $37.84 / $73.70	Professional	26	$27.16	$37.84	$73.70