Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.12 / $43.42 / $116.98	Facility	26	$13.12	$43.42	$116.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $97.38 / $97.38	Professional		$89.14	$97.38	$97.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $13.12 / $14.22	Professional	26	$12.70	$13.12	$14.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $116.73 / $194.59	Professional		$96.06	$116.73	$194.59
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $17.11 / $18.64	Professional	26	$15.40	$17.11	$18.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $111.12 / $431.92	Professional		$73.37	$111.12	$431.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $21.84 / $55.87	Professional	26	$12.75	$21.84	$55.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $251.10 / $251.10	Professional		$111.46	$251.10	$251.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $33.34 / $33.34	Professional	26	$15.14	$33.34	$33.34
United Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $129.34 / $318.17	Professional		$65.19	$129.34	$318.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $19.64 / $42.24	Professional	26	$12.10	$19.64	$42.24