Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $108.97 / $110.37	Facility	26	$46.77	$108.97	$110.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $99.22	Professional		$88.88	$88.88	$99.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $50.82	Professional	26	$46.77	$46.77	$50.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $99.65 / $660.00	Professional		$97.65	$99.65	$660.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $51.56 / $56.20	Professional	26	$50.23	$51.56	$56.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $134.27 / $220.70	Professional		$83.91	$134.27	$220.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.40 / $69.66 / $117.99	Professional	26	$42.40	$69.66	$117.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $201.68 / $201.68	Professional		$98.72	$201.68	$201.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.15 / $103.30 / $103.30	Professional	26	$50.15	$103.30	$103.30
United Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $191.21 / $238.72	Professional		$78.18	$191.21	$238.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $72.34 / $122.27	Professional	26	$42.08	$72.34	$122.27